Southeastern Michigan Kidney Center Pllc, NPI 1316967797
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Berkley, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1316967797
NPI Entity Type Organization
Provider Name Southeastern Michigan Kidney Center Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1695 W 12 Mile Rd, Suite 250, Berkley, MI, US
Provider Mailing Address 30100 Telegraph Rd, Suite 200, Bingham Farms, MI, US, 480254516
Is Sole Proprietor? No
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Organization Official

Official Name MR. David F Shepherd
Official Position VICE PRESIDENT
Phone 248-642-5038

Primary Taxonomy

Taxonomy Code

261QE0700X

Taxonomy Name End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Southeastern Michigan Kidney Center Pllc
1695 W 12 Mile Rd
Suite 250

Berkley, MI, US

Phone: 248-414-5200
Fax: 248-414-5227

Mailing Address

Southeastern Michigan Kidney Center Pllc
30100 Telegraph Rd
Suite 200
Bingham Farms, MI, US
ZIP 480254516
Phone: 248-723-0224
Fax: 248-642-7852

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000000009371 CAPE 01
08981 BLUE CROSS PRIMARY 01
08981 FED BLUE CROSS PRIMARY 01
1022510001 WELLNESS 01
140042 CARE CHOICES 01
OP630345 M CARE 01
09499 BLUE CROSS SECONDARY 01
501076 ULTI MED 01
567595 SELECTCARE 01
P117519 BLUE CARE NETWORK 01
140042 PREFERRED CHOICE 01
09499 FED BLUE CROSS SECONDARY 01
8203 GREATLAKES 01
232574 HAP 01
4112097 MI MEDICAID 05

Other Providers in MI, US

NPI Name Taxonomy Address

1659096923

Rafa Therapies

Organization

Rehabilitation Hospital Unit

4745 Michigan Ave

Detroit, MI

1649715194

Leah West

Individual

Family Nurse Practitioner

1 Genesys Pkwy

Grand Blanc, MI

1942923867

MRS. Dayna Calka

Individual

Mental Health Counselor

2399 E Walton Blvd

Auburn Hills, MI

1619225489

DR. PSYD, MPH Shervin Tehrani-rad

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1770990392

DR. PSYD Amreeta Gill

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1144940149

Mackenzie Louise Meredith

Individual

Family Nurse Practitioner

1402 W 14 Mile Rd

Clawson, MI

1881058709

DR. M.D., M.S. Marco Antonio Peterson JR.

Individual

Family Medicine Physician

1101 W University Dr

2 South

Rochester, MI

1053804146

PT Esther Karunakar

Individual

Physical Therapist

6711 Westpointe Dr

Troy, MI

1033179189

MD Sailaja Yadavalli

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1205896263

MD Jeffery Wong

Individual

Diagnostic Radiology Physician

44201 Dequindre

Troy, MI

1639371859

MRS. P.A.-C Sarah Zukowski Wilhelm

Individual

Physician Assistant

3601 W 13 Mile Rd

Royal Oak, MI

1164482253

MD Bridget Wiater

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

400 Fsc-pcs

Royal Oak, MI

1699735696

MD Robert Weinfeld

Individual

Diagnostic Radiology Physician

44201 Dequindre Rd

Troy, MI

1164482139

M.D. Ann E Swinford

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1215568928

Lindsay Essig

Individual

Behavioral Analyst

1913 Cambridge Dr

Kalamazoo, MI

1821453663

LPC Jonathan Hart

Individual

Professional Counselor

52188 Van Dyke Ave Ste 300

Shelby Township, MI

1952958894

DDS, MS Suhaib Alqawasmeh

Individual

General Practice Dentistry

30090 23 Mile Rd

Chesterfield, MI

1205454402

Alexis K Willmore

Individual

Physician Assistant

3950 Hollywood Rd Ste 280

Saint Joseph, MI

1841221108

DR. DO, MPH Jimmy Wayne Brandon

Individual

Preventive Medicine/Occupational Environmental Medicine Physician

G-3100 Van Slyke Road

General Motors Health Services / Flint Assembly

Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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