MRS. AMY WIESE (NPI# 1003465493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003465493 |
| Entity Type | Individual |
| Full Name | MRS. AMY WIESE |
| Practice Address |
50 W Big Beaver Rd Ste 280 Bloomfield Hills MI 48304-3912 |
| Mailing Address |
7126 Arrowood Dr West Bloomfield MI 48324-2500 |
| Practice Telephone | 2483223362 |
| Mailing Telephone | 2488956278 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
1144430133 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
50 W BIG BEAVER RD STE 280 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48304-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144430133 | Giancarlo Fiorindo Zuliani | Otolaryngology | 50 W Big Beaver Rd Ste 280, Bloomfield Hills, MI 48304-3912 | 2007-05-22 |
| 1861916348 | Gfz Medical Services Pllc | Otolaryngology | 50 W Big Beaver Rd Ste 280, Bloomfield Hills, MI 48304-3912 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
| 1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
| 1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
| 1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
| 1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
| 1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
| Find all providers in zip 48304 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104934603 | Rick Joel Smith | Plastic Surgery | 1504 E Grand River Ave, Suite100, East Lansing, MI 48823-4921 | 2006-08-26 |
| 1760489348 | Ellen Beth Ozolins | Plastic Surgery | 44050 W 12 Mile Rd, Novi, MI 48377-2612 | 2005-06-28 |
| 1902123904 | Ninul Inc | Plastic Surgery | 637 E Big Beaver Rd, Troy, MI 48083-1423 | 2010-04-29 |
| 1487894754 | George S Miguel | Plastic Surgery | 85 E Big Beaver Rd, Troy, MI 48083-1262 | 2009-02-26 |
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.