GREENFIELD MEDICAL CENTER OF DEARBORN, P.C. (NPI# 1033389606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033389606 |
| Entity Type | Organization |
| Organization Name | GREENFIELD MEDICAL CENTER OF DEARBORN, P.C. |
| Practice Address |
5479 Schaefer Rd Dearborn MI 48126-3222 |
| Practice Telephone | 3135812121 |
| Practice Fax Number | 3135819206 |
| Mailing Telephone | 3135812121 |
| Mailing Fax Number | 3135819206 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DR. MOHAMAD KHANSA (PHYSICIAN OWNER) |
| Authorized Official Telephone | 3135812121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4301062443 | MI | Ambulatory Health Care Facilities |
| Street Address |
5479 SCHAEFER RD |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839752 | Daoud Faraj PC | Clinic/Center | 5479 Schaefer Rd, Dearborn, MI 48126-3222 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760013262 | Tranquility Wellness Center | Clinic/Center | 5237 Oakman Blvd Ste B100, Dearborn, MI 48126-4045 | 2020-02-03 |
| 1386839215 | Ali Nasser Md PC | Clinic/Center | 9925 Dix Ste 103, Dearborn, MI 48120-1593 | 2007-09-13 |
| 1427056068 | Dearborn Pediatric & Adolescent Medical Center, PC | Clinic/Center | 6620 Schaefer Rd, Dearborn, MI 48126-4502 | 2005-07-08 |
| 1609341254 | Syed Tajuddin Md Pllc | Clinic/Center | 24327 Ford Rd, Dearborn, MI 48128-1129 | 2018-10-10 |
| 1043750136 | Westborn Medical Clinic | Clinic/Center | 23865 Michigan Ave, Dearborn, MI 48124-1805 | 2017-03-08 |
| 1639612674 | Saad Medical Services Pllc | Clinic/Center | 23100 Cherry Hill St, Ste 9, Dearborn, MI 48124-1493 | 2016-11-23 |
| 1871043000 | East Dearborn Medical Clinic PC | Clinic/Center | 14650 W Warren Ave, Ste 150, Dearborn, MI 48126-1799 | 2016-10-12 |
| 1750769394 | First Choice Medical Group Pllc | Clinic/Center | 23455 Michigan Ave, Suite B, Dearborn, MI 48124-1908 | 2015-05-15 |
| 1851796734 | Team Mental Health Services, Inc | Clinic/Center | 921 Howard St, Dearborn, MI 48124-2210 | 2014-11-04 |
| 1083908198 | East Dearborn Medical Center PC | Clinic/Center | 14650 W Warren Ave, Suite 150, Dearborn, MI 48126-1799 | 2011-06-06 |
| Find all providers in DEARBORN | ||||
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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.