FORDSON MEDICAL GROUP PC (NPI# 1114143914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114143914 |
Entity Type | Organization |
Organization Name | FORDSON MEDICAL GROUP PC |
Other Organization Name | WARREN MEDICAL GROUP |
Practice Address |
16921 W Warren Ave Detroit MI 48228-3504 |
Practice Telephone | 3135589869 |
Mailing Telephone | 3135589869 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2017-04-27 |
Authorized Official Name | SALAHUDDIN AHMAD (PRESIDENT) |
Authorized Official Telephone | 3135589869 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
037730 | MI | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
405774 | MI | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 062441 | MI | Allopathic & Osteopathic Physicians |
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
062248 | MI | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WARREN MEDICAL GROUP | Doing Business As Name - Organization |
Street Address |
16921 W WARREN AVE |
City | DETROIT |
State | MI |
Zip Code | 48228-3504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255499257 | Zafer Obeid | Internal Medicine | 16921 W Warren Ave, Detroit, MI 48228-3505 | 2006-12-04 |
1134605926 | Warrendale Pharmacy Rx LLC | Pharmacy | 16921 W Warren Ave, Detroit, MI 48228-3504 | 2018-07-14 |
1881135309 | Preferred Care Rx LLC | Pharmacy | 16921 W Warren Ave, Detroit, MI 48228-3504 | 2017-03-16 |
1902169113 | Megan Anne Eikhoff | Registered Nurse | 16921 W Warren Ave, Detroit, MI 48228-3504 | 2012-06-21 |
1386914745 | Munira Musslih Kassim | Psychologist | 16921 W Warren Ave, Detroit, MI 48228-3504 | 2012-01-03 |
1710168992 | Medical Visiting Physicians Pllc | Home Health | 16921 W Warren Ave, Detroit, MI 48228-3504 | 2007-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
1316433329 | 4 Ur Recovery Therapy, LLC | Clinic/Center | 19201 Warren St, Detroit, MI 48228 | 2018-07-03 |
1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
1043746548 | Am-pm Transportation Services LLC | Private Vehicle | 18640 Joy Road, Detroit, MI 48228 | 2017-05-04 |
1770023491 | Goodcompany Aop Inc | In Home Supportive Care | 8946 Prest St, Detroit, MI 48228 | 2017-02-28 |
1881049260 | Christine Jackson | Social Worker | 9115 Warwick, Detroit, MI 48228 | 2016-05-04 |
1790157774 | Shakail Bronta Hill | Adult Companion | 7729 Clayburn, Detroit, MI 48228 | 2015-10-29 |
1275904583 | Denarol Cunningham | Contractor | 7248 Vaughan, Detroit, MI 48228 | 2015-10-13 |
1023493210 | Larry Foster | Technician, Other | 9334 Memorial, Detroit, MI 48228 | 2015-07-29 |
1093126872 | Reza Hafezi | Chiropractor | 17600 W. Warren Ave., Detroit, MI 48228 | 2014-05-14 |
Find all providers in zip 48228 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
1932573904 | Detroit Brain Institute Pllc | Psychiatry & Neurology | 18111 Wildemere St, Detroit, MI 48221-2728 | 2015-11-13 |
1497060818 | Anza Bilal Memon | Psychiatry & Neurology | 4201 Saint Antoine St Ste 8a, Detroit, MI 48201-2153 | 2010-08-10 |
1407167802 | Rahul Damani | Psychiatry & Neurology | 4201 Saint Antoine Street, Detroit, MI 48201 | 2010-06-30 |
1689805087 | Humaira Fahim | Psychiatry & Neurology | 4201 Saint Antoine St # St8a, Detroit, MI 48201-2153 | 2009-08-03 |
1235396607 | Elissa Kay Fory | Psychiatry & Neurology | 2799 W Grand Blvd # K-11, Detroit, MI 48202-2608 | 2008-05-21 |
1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
1881632511 | M Maher Fakhouri | Psychiatry & Neurology | 4201 Saint Antoine St Ste 8a&8b, University Health Center, Detroit, MI 48201-2153 | 2006-06-03 |
1255378774 | Edwin Black George | Psychiatry & Neurology | 4201 St Antoine Ste 8a & 8b, University Health Center, Detroit, MI 48201-2153 | 2006-06-01 |
Find all providers in DETROIT |
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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.