WILLIAM C. HEATH MD PC (NPI# 1104076595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104076595 |
| Entity Type | Organization |
| Organization Name | WILLIAM C. HEATH MD PC |
| Practice Address |
22341 W 8 Mile Rd Detroit MI 48219-1217 |
| Practice Telephone | 3132554672 |
| Mailing Telephone | 3132554672 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MRS. KASSANDRA HILL (MANAGER) |
| Authorized Official Telephone | 3132554672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036972 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1099250 | 05 |
| Street Address |
22341 W 8 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299435 | Woodland Urgent Care LLC | Internal Medicine | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2005-07-18 |
| 1427664986 | Vita Fontana | Nurse Practitioner | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2020-09-21 |
| 1669855136 | Extra Care Pharmacy Inc. | Pharmacy | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2015-07-02 |
| 1982928800 | Woodland Pharmacy Co | Pharmacy | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2010-03-22 |
| 1093952012 | Huey-fong Liang | Family Medicine | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2009-01-13 |
| 1639347586 | Anne-mare Ice Md PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2008-02-13 |
| 1598947137 | Woodland Urgent Care LLC | Clinic/Center | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-12-05 |
| 1235324799 | Rose Pediatric PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-09-07 |
| 1609082247 | Janan Hawil | Family Medicine | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-05-14 |
| 1922140912 | Pediatric Staff Pllc | Specialist | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1104440320 | How- Substance Abuse Abuse Program | Pediatrics | 8131 E Outer Dr, Detroit, MI 48213-1323 | 2020-06-03 |
| 1245660141 | Jinwoo Yoo M.d. | Pediatrics | 12632 Dexter Ave, Detroit, MI 48238-3340 | 2013-11-14 |
| 1639347586 | Anne-mare Ice Md PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2008-02-13 |
| 1235324799 | Rose Pediatric PC | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2007-09-07 |
| 1285667097 | Kalpana A Choksi | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2006-07-08 |
| 1902839764 | Anne Mare Ice | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2006-07-07 |
| 1922031798 | Jorge F Rose | Pediatrics | 22341 W 8 Mile Rd, Detroit, MI 48219-1217 | 2006-07-07 |
| 1982634119 | Gouri Ramesh | Pediatrics | 7900 Kercheval St, Detroit, MI 48214-2439 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
| 1275825770 | Mazen Hamameh Do PC | Pediatrics | 5831 Whitefield, Dearborn Heights, MI 48127 | 2011-05-03 |
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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.