Charise Lanette Valentine, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

CV053752 Issued in MI

Practice address

4245 S Beech Daly St
Suite 104
Dearborn Heights, MI 48125-1567

Phone

(313) 730-9011

Fax

(313) 730-9013

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Embrace Home Health Physicians

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1598779282
  NPD (past)
• Embrace Home Physicians PLLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1548704778
  NPD (past)
• Healthland Housecall Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Warren, MI
  • NPI 1760029581
  NPD (past)
• Healthland P C

  • Gerontology Nurse Practitioner
  • Warren, MI
  • NPI 1346304748
  NPD (past)
• Reids Community Urgent Care PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1659635449
  NPD (past)
• Tricity Medical Centers, P.C.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
  • NPI 1922054485
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1366485039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S BEECH DALY ST",
            "address_2": "SUITE 104",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251567",
            "telephone_number": "313-730-9011",
            "fax_number": "313-730-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 S BEECH DALY ST",
            "address_2": "SUITE 104",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251567",
            "telephone_number": "313-730-9011",
            "fax_number": "313-730-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "CHARISE",
        "middle_name": "LANETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "CV053752",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "CV053752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PERSONAL",
            "identifier": "1306343272",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4614876-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700H219440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unique Eyewear, LLC
• Unique Lab Solutions LLC
• United Pharmacy III Enterprises
• Uop Urgent Care PLLC
• Uop Urgent Care PLLC
• Nicole Valentine, LMSW
• Value Plus RX
• Van Born Chiropractic Clinic, P.C.
• Van Born Pharmacy Inc
• Alma Varela

• All providers in Dearborn Heights, MI
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.