Taxonomy Code 305S00000X(305s00000x)
Point of Service. Providers: 6

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Point of Service Providers

NPI Name Type Address

1063855112

MRS. RN Demetria Ann Gross

Individual

41045 Vista Woods Way

Clinton Township, MI

1902280381

MA, LLPC Margo Moltmaker

Individual

21885 Dunham Rd

Suite 1

Clinton Township, MI

1568846897

Macomb County Community Mental Health

Organization

21885 Dunham Rd

Suite 1

Clinton Township, MI

1396120101

Sharna Deluca

Individual

21885 Dunham Rd

Clinton Township, MI

1265817340

Mary Bowers

Individual

21885 Dunham Rd

Clinton Township, MI

1265817555

MS, LPC Roxanne Mitchell

Individual

21885 Dunham Rd

Clinton Township, MI

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 305S00000X
Display Name Point of Service
Taxonomy Group Managed Care Organizations
Taxonomy Classification Point of Service
Definition This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Effective Date September 30, 2009
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Other Taxonomy Codes

Interventional Cardiology Physician

207RI0011X • providers: 6,980

Pain Medicine (Psychiatry & Neurology) Physician

2084P2900X • providers: 247

Clinical Electrophysiology Physical Therapist

2251E1300X • providers: 124

Nephrology Physician

207RN0300X • providers: 15,548

Infusion Therapy Clinic/Center

261QI0500X • providers: 692

EEG Technician

2472E0500X • providers: 106

Intellectual Disabilities Intermediate Care Facility

315P00000X • providers: 5,669

Art Therapist

221700000X • providers: 1,234

Medical Specialty Clinic/Center

261QM2500X • providers: 5,655

Facial Plastic Surgery Physician

207YS0123X • providers: 864

Day Training/Habilitation Specialist

373H00000X • providers: 2,765

Case Manager/Care Coordinator

171M00000X • providers: 118,100

Occupational Health Clinical Nurse Specialist

364SX0106X • providers: 25

Ph.D. Medical Genetics

170100000X • providers: 544

Obstetrics & Gynecology Physician

207V00000X • providers: 54,152

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1835X0200X • providers: 1,285

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363L00000X • providers: 80,217

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3418M1110X • providers: 3

Medicare Defined Swing Bed Hospital Unit

275N00000X • providers: 1,785

Military Outpatient Operational (Transportable) Component Clinic/Center

261QM1102X • providers: 25