Theodore R Densley (NPI# 1891701884, PAC ID# 9537140520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
Nation Provider ID (NPI) | 1891701884 |
PAC ID by PECOS | 9537140520 |
Professional Enrollment ID | I20040526000506 |
Full Name | Theodore R Densley |
Organization Legal Name | LOLITA CHANDLER |
Address |
15101 W Mcnichols Detroit MI 48235-3716 |
Phone Number | 3133077273 |
Gender | M |
Credential | MD |
Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1974 |
Primary Specialty | ADDICTION MEDICINE |
Group Practice PAC ID | 2163662024 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
15101 W Mcnichols, Detroit, MI 48235-3716 | 3133077273 | LOLITA CHANDLER |
Organization Legal Name | LOLITA CHANDLER |
Physicians | 1 |
Street Address |
15101 W MCNICHOLS |
City | DETROIT |
State | MI |
Zip | 48235-3716 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yolanda Y Latham | Nurse Practitioner | Park Family Health Care, P.C. | 12703 W Seven Mile Rd, Detroit, MI 48235-1302 |
James S Gentile | Physician Assistant | City Urgent Care PC | 13403 W 7 Mile Rd, Detroit Urgent Care, Detroit, MI 48235-1387 |
Gurneet Kaur | Physical Therapy | 19915 James Couzens Fwy, Detroit, MI 48235-1840 | |
Edward A Clay | Gastroenterology | Edward A Clay Md PC | 20001 Greenfield, Suite 6, Detroit, MI 48235-1870 |
Herman J Glass Ii | Chiropractic | 17301 W 8 Mile Rd, Detroit, MI 48235-2141 | |
Cynthia C Griggs | Nephrology | 18455 James Couzens Fwy, Detroit, MI 48235-2506 | |
Anthony D Spearman | Internal Medicine | 18276 Stansbury St, Detroit, MI 48235-2524 | |
Salvatore Cavaliere | Otolaryngology | 6071 W Outer Dr Fl, 7 Select Speciality Hospital, Detroit, MI 48235-2624 | |
Violet Onkoba | General Surgery | United Critical Care Plc | 6071 W Outer Dr, Detroit, MI 48235-2624 |
Sulaiman Alhassan | Internal Medicine | John Haapaniemiand Barry Lesser Ptr,haapaniemi Lesser Associated | 6071 W Outer Dr, Detroit, MI 48235-2624 |
Find all physicians in zip 48235 |
City | DETROIT |
Zip Code | 48235 |
Specialty | ADDICTION MEDICINE |
City + Specialty | DETROIT + ADDICTION MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.