Active NPI
Doina David, MD
- Anatomic Pathology & Clinical Pathology Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301058735
- Practice address
- 9460 S Saginaw Rd Ste D
Grand Blanc, MI 48439-8207 - Phone
- (810) 733-7741
- Fax
- (810) 733-8898
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301058735 | MI | Primary |
Addresses
Primary practice location
9460 S Saginaw Rd Ste D
Grand Blanc, MI 48439-8207
Mailing address
9460 S Saginaw Rd Ste D
Grand Blanc, MI 48439-8207
Phone (810) 733-7741
Other practice location 1
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023058922 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301058735 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Medical Group PLLC | Current | Accepting new patients | |
| Envision Medical Group PLLC | Current | Accepting new patients |
Locations
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
17800 Newburgh Rd
Ste 103
Livonia, MI 48152
Phone (734) 464-9540
42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Northville, MI
- NPI 1578891750
-
- Family Medicine Physician
- Northville, MI
- NPI 1821391848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1023058922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9460 S SAGINAW RD STE D",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398207",
"telephone_number": "810-733-7741",
"fax_number": "810-733-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9460 S SAGINAW RD STE D",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398207",
"telephone_number": "810-733-7741",
"fax_number": "810-733-8898"
}
],
"practiceLocations": [
{
"address_1": "6071 W Outer Dr",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482352624",
"country_code": "US",
"telephone_number": "313-966-3333",
"fax_number": "313-966-4340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "DOINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301058735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023058922",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.