WYANDOTTE MEDICAL PRACTICES (NPI# 1013117670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013117670 |
| Entity Type | Organization |
| Organization Name | WYANDOTTE MEDICAL PRACTICES |
| Practice Address |
3851 West Rd Suite 1 Trenton MI 48183-2350 |
| Mailing Address |
3333 Biddle St Suite C Wyandotte MI 48192-6284 |
| Practice Telephone | 7346713248 |
| Practice Fax Number | 7346711819 |
| Mailing Telephone | 7346713248 |
| Mailing Fax Number | 7346711819 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Authorized Official Name | JOHN KIBBLE (DIRECTOR) |
| Authorized Official Telephone | 3138743436 |
| Is Organization Subpart | Y |
| Parent Organization Name | WYANDOTTE MEDICAL PRACTICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5101015620 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137207 | Wyandotte Medical Practices | Orthopaedic Surgery | 3200 Biddle Ave, Wyandotte, MI 48192-5937 | 2006-06-04 |
| 1235350331 | Wyandotte Medical Practices | Surgery | 3333 Biddle Ave, Suite B, Wyandotte, MI 48192 | 2007-05-02 |
| 1124246228 | Wyandotte Medical Practices | Surgery | 3333 Biddle St, Ste C, Wyandotte, MI 48192-6284 | 2007-04-23 |
| 1356566947 | Wyandotte Medical Practices | Family Medicine | 1640 Fort St, Suite D, Trenton, MI 48183-2040 | 2007-04-17 |
| Street Address |
3851 WEST RD SUITE 1 |
| City | TRENTON |
| State | MI |
| Zip Code | 48183-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682831 | Pritpal Gill Sandhu | Internal Medicine | 3851 West Rd, Suite 2, Trenton, MI 48183-2350 | 2005-07-12 |
| 1326477084 | Laura Fodor | Nurse Practitioner | 3851 West Rd, Suite 2, Trenton, MI 48183-2350 | 2013-11-04 |
| 1023260122 | Preet Sandhu, M.d., P.C. | Internal Medicine | 3851 West Rd, Suite 2, Trenton, MI 48183-2350 | 2008-10-21 |
| 1427218494 | Trenton Ob Gyn Group Pllc | Obstetrics & Gynecology | 3851 West Rd, Suite 1, Trenton, MI 48183-2350 | 2008-06-13 |
| 1215125398 | Allan D. Lamb, D.o., P.C. | Clinic/Center | 3851 West Rd, Suite 3, Trenton, MI 48183-2350 | 2007-10-14 |
| 1528005279 | Kelley Marie Korona | Nurse Practitioner | 3851 West Rd, Trenton, MI 48183-2351 | 2006-06-01 |
| 1619946894 | Allan Dana Lamb | Surgery | 3851 West Rd, Suite #3, Trenton, MI 48183-2350 | 2006-03-17 |
| 1619965035 | Mohinder Pal Singh-sandhu | Obstetrics & Gynecology | 3851 West Rd, Suite 1, Trenton, MI 48183-2350 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| Find all providers in zip 48183 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154769214 | Angelique Nikkol-telycenas Ellison | Obstetrics & Gynecology | 5400 Fort St Ste 250, Trenton, MI 48183-4630 | 2013-06-11 |
| 1821226853 | Adriana Mary Pinkowski | Obstetrics & Gynecology | 1651 Kingsway Court, Suite A, Trenton, MI 48183-2322 | 2009-06-29 |
| 1346393006 | Fred W Williams Md PC | Obstetrics & Gynecology | 1450 Parkside Av, Suite 10, Trenton, NJ 08638-2950 | 2007-01-18 |
| 1386652105 | Karen Patricia Shelton | Obstetrics & Gynecology | 418 Nc Highway 58 N, Trenton, NC 28585-9530 | 2006-08-04 |
| 1023067063 | Ahmad I Al-jerdi | Obstetrics & Gynecology | 2275 W Jefferson Ave, Trenton, MI 48183-2114 | 2006-05-08 |
| 1497710974 | Eduardo G Flores | Obstetrics & Gynecology | 1230 Whitehorse Mercerville Rd, Trenton, NJ 08619-3814 | 2006-04-19 |
| 1275507493 | Margaret Jaskowski-lutsic | Obstetrics & Gynecology | 2865 West Rd, Trenton, MI 48183-2478 | 2006-02-14 |
| 1427044247 | Stephen J Tarnoff | Obstetrics & Gynecology | 437 E State St, Trenton, NJ 08608-1501 | 2005-09-27 |
| 1457972762 | Sierra Lahaie | Obstetrics & Gynecology | 5450 Fort St, Trenton, MI 48183-4601 | 2020-04-28 |
| 1871150250 | Morgan Elizabeth Parsons Fujimori | Obstetrics & Gynecology | 5450 Fort St, Trenton, MI 48183-4601 | 2019-05-21 |
| Find all providers in TRENTON | ||||
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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.