Daniel Liendo, PA
Individual provider Active NPI Physician Assistant · Farmington Hills, MI
NPI 1215297635 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1215297635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601006319 (MI)
- Practice address
- 24350 Orchard Lake Rd
Suite 111
Farmington Hills, MI 48336-1970 - Phone
- (248) 888-7719
- Fax
- (630) 528-9507
- NPI assigned
- May 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iha Health Services Corporation
Wellstreet Urgent Care of Michigan
Practice addresses (Care Compare)
1065 N Huron River Dr
Ypsilanti, MI 48197-3296
1255 E M
Pinckney, MI 48169-8133
Phone (734) 878-1000
128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677
14288 E Old US Hwy 12
Chelsea, MI 48118-2700
15606 Southfield Rd
Allen Park, MI 48101-2513
Phone (313) 771-5274
18930 W Rd
Beaumont Urgent Care of Michigan
Woodhaven, MI 48183-3317
Phone (734) 671-4900
19760 Haggerty Rd
Beaumont Urgent Care of Michigan
Livonia, MI 48152-1080
Phone (734) 793-8769
202 W Highland Rd
Howell, MI 48843-1162
2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744
2305 Genoa Bus Park Dr
Brighton, MI 48114-7005
27810 Grand River Ave
Farmington Hills, MI 48336-5916
Phone (248) 957-1989
29263 Orchard Lake Rd
Farmington Hills, MI 48334-2953
Phone (248) 488-5900
4200 Whitehall Dr
Ann Arbor, MI 48105-9694
42757 Woodward Ave
Beaumont Urgent Care by Wellstreet
Bloomfield Hills, MI 48304-5037
Phone (248) 940-4937
43535 Grand River Ave
Novi, MI 48375-1108
Phone (248) 946-4500
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304
5505 S Old US
Brighton, MI 48116-7524
5505 S Old US 23
101 Thimg Lifestyle Medicine Primary Care E
Brighton, MI 48116-7524
Phone (734) 887-7888
6200 Middlebelt Rd
Garden City, MI 48135-2409
Phone (734) 367-9100
6543 Telegraph Rd
Bloomfield Township, MI 48301-3066
Phone (248) 940-4751
6549 N Canton Ctr Rd
Beaumont Urgent Care of Michigan
Canton, MI 48187-1653
Phone (734) 589-1969
9870 Telegraph Rd
Taylor, MI 48180-3399
Phone (313) 291-6600
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital Royal Oak
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120618000422 | MI | Practitioner - Physician Assistant | 8224292503 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006319 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Health Corporation of Southeastern Michigan | Current |
Accepting new patients | |
| Mymichigan Medical Center Clare | Current |
Accepting new patients | |
| Iha Health Services Corporation | Current |
Accepting new patients | |
| Iha Health Service Corporation | Current |
Accepting new patients | |
| Infectious Disease Center, P.C. | Past | Accepting new patients | |
| Southgate Urgent Care PC | Past |
Accepting new patients | |
| Adrian Urgent Care PLLC | Past | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past |
Accepting new patients | |
| Ferndale Urgent Care | Past | Accepting new patients | |
| Warren Urgent Care PC | Past |
Accepting new patients | |
| Infectious Disease Center, P.C. | Past |
Accepting new patients | |
| Michigan Urgent and Primary Care | Past | Accepting new patients |
Locations
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161
Interoperability endpoints
- daniel.liendo@wsmcps.eclinicaldirectplus.com
- dliendo1470593@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | 5601006319 | MI | |
| Physician Assistant | 363A00000X | 5601006319 | MI | Yes |
Addresses
Primary practice location
24350 Orchard Lake Rd
Suite 111
Farmington Hills, MI 48336-1970
Mailing address
1400 E Parkdale Ave
Manistee, MI 49660-9776
Phone (231) 398-1840
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Daniel.liendo@wsmcps.eclinicaldirectplus.com |
Other providers in Farmington Hills, MI
- Michael Brian Lieberman
- Taylor Liebert
- Mariah Liebsch
- Rebecca Bree Lien
- Stephany Lien
- Life Balance Counseling of Michigan, LLC
- Life Care Physical Therapy & Rehab Center Inc
- Life Changing Therapeutic Services, LLC
- Life Renewal Newtwork
- Life Skills Residential, LLC
All providers in Farmington Hills, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.