DR. HENRY W. MAICKI (NPI# 1063489433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063489433 |
| Entity Type | Individual |
| Full Name | DR. HENRY W. MAICKI |
| Credential | M.D. |
| Practice Address |
24353 Orchard Lake Rd Suite E Farmington Hills MI 48336-1917 |
| Practice Telephone | 2484714777 |
| Practice Fax Number | 2484771613 |
| Mailing Telephone | 2484714777 |
| Mailing Fax Number | 2484771613 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
HM026513 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GREAT LAKES HEALTH PLAN | 148134 | 01 | |
| AETNA | 4398521 | 01 | |
| MI | M CARE | C4990 | 01 |
| MI | CARE CHOICES HMO | 102619 | 01 |
| MI | 4359002 | 05 | |
| MI | BLUE CARE NETWORK | 0632414 | 01 |
| MI | PREFERRED CHOICES PPO | 102619 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0632414 | 01 |
| Street Address |
24353 ORCHARD LAKE RD SUITE E |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629048772 | Kamlesh Kumari-lobo | Obstetrics & Gynecology | 24353 Orchard Lake Rd, Suite E, Farmington Hills, MI 48336-1917 | 2006-01-23 |
| 1497924989 | Henry W. Maicki, M.d., Pllc | Obstetrics & Gynecology | 24353 Orchard Lake Rd, Suite E, Farmington Hills, MI 48336-1917 | 2008-02-28 |
| 1497924971 | K. Kumari-lobo, M.d., P.C. | Obstetrics & Gynecology | 24353 Orchard Lake Rd, Suite E, Farmington Hills, MI 48336-1917 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699708057 | Jerrold H. Weinberg M.d., Plc | Obstetrics & Gynecology | 30055 Northwestern Hwy Ste 250, Farmington Hills, MI 48334-3275 | 2006-07-09 |
| 1275144586 | Lawrence Blase Md | Obstetrics & Gynecology | 30335 W 13 Mile Rd Ste 100, Farmington Hills, MI 48334-2262 | 2020-08-11 |
| 1295997658 | Physician Home Health | Obstetrics & Gynecology | 32841 Middlebelt Rd, Farmington Hills, MI 48334-1771 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532330 | Rula Al-aouar Plc | Obstetrics & Gynecology | 2380 W Warren Street, Dearborn Heights, MI 48127-2276 | 2020-09-14 |
| 1306497466 | Iha Health Services Corporation | Obstetrics & Gynecology | 1065 N Huron River Dr Ste 400, Ypsilanti, MI 48197-3296 | 2019-09-20 |
| 1770021354 | Southfield Obsterical and Gynecologic Institute P.C. | Obstetrics & Gynecology | 29275 Northwestern Hwy Ste 207, Southfield, MI 48034-5744 | 2017-02-03 |
| 1013335504 | Evelyn Hall | Obstetrics & Gynecology | 504 Catherine St, Ann Arbor, MI 48104-1433 | 2014-04-01 |
| 1740616804 | Mohammad Amin Ariani | Obstetrics & Gynecology | 65 Belle Meade St, Grosse Pointe Shores, MI 48236-1552 | 2013-09-20 |
| 1548564164 | Joseph Lee Decook | Obstetrics & Gynecology | 2238 Tony Ave, Fennville, MI 49408-9463 | 2010-12-23 |
| 1992005821 | Diana L. Cohen, D.o., P.C. | Obstetrics & Gynecology | 1240 S Lapeer Rd, Suite 101b, Lake Orion, MI 48360-1470 | 2010-10-26 |
| 1386961498 | Zeenat Anwar | Obstetrics & Gynecology | 3820 Gratiot Ave, Port Huron, MI 48060-1536 | 2010-04-28 |
| 1063658755 | Joseph Kroon | Obstetrics & Gynecology | 656 Wellington Cres, Mount Clemens, MI 48043-2949 | 2008-12-30 |
| 1386805158 | Francis Darling | Obstetrics & Gynecology | 9062 Lake Dominion Dr, Brighton, MI 48114-9104 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
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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.