DR. MARY SUE J SYLWESTRZAK (NPI# 1124001177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124001177 |
| Entity Type | Individual |
| Full Name | DR. MARY SUE J SYLWESTRZAK |
| Other Name | MARY SUE JENKINS SYLWESTRZAK |
| Credential | MD |
| Practice Address |
33200 W 14 Mile Rd Ste 130 West Bloomfield MI 48322-3549 |
| Practice Telephone | 2488554144 |
| Practice Fax Number | 2488559158 |
| Mailing Telephone | 2488554144 |
| Mailing Fax Number | 2488559158 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301053077 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HAP INSURANCE PLAN | F28229 | 01 | |
| MI | 2886572 | 05 | |
| MI | BLUE CROSS/BLUE SHIELD OF MI | 3506337132 | 01 |
| Street Address |
33200 W 14 MILE RD STE 130 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370815 | Sheila Prasad Meftah | Internal Medicine | 33200 W 14 Mile Rd, Suite 200, West Bloomfield, MI 48322-3549 | 2005-07-19 |
| 1598296485 | Mary Lee Md, PC | Clinic/Center | 33200 W 14 Mile Rd, West Bloomfield, MI 48322-3563 | 2017-03-23 |
| 1063950871 | Michigan Orthopaedic Surgeons Pllc | Orthopaedic Surgery | 33200 W 14 Mile Rd, Ste 220, West Bloomfield, MI 48322-3563 | 2017-02-01 |
| 1467811968 | Sharyn Hyman | Physical Therapist | 33200 W 14 Mile Rd, Suite 160, West Bloomfield, MI 48322-3563 | 2016-02-12 |
| 1326447087 | Jason Sosnowski | Physical Therapist | 33200 W 14 Mile Rd, Ste 160, West Bloomfield, MI 48322-3563 | 2014-08-19 |
| 1497195507 | Molly Rae Varon | Occupational Therapist | 33200 W 14 Mile Rd, Ste 160, West Bloomfield, MI 48322-3563 | 2013-07-03 |
| 1437412145 | Jordan L Ball | Physical Therapist | 33200 W 14 Mile Rd, Suite 160, West Bloomfield, MI 48322-3563 | 2012-06-18 |
| 1174815195 | Gupta Ent Center West, Plc | Hearing Aid Equipment | 33200 W 14 Mile Rd, Ste 240, West Bloomfield, MI 48322-3563 | 2011-05-10 |
| 1376785253 | Rhonda Lanette Walker | Physical Therapist | 33200 W 14 Mile Rd, West Bloomfield, MI 48322-3563 | 2009-03-24 |
| 1043495864 | Esmael H Amjad Md PC | Otolaryngology | 33200 W 14 Mile Rd, Ste 230, West Bloomfield, MI 48322-3563 | 2007-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1073853008 | Main Street Pediatrics Pllc | Pediatrics | 7362 Rafford Ln, West Bloomfield, MI 48322-3190 | 2013-02-28 |
| 1629299649 | Rhonda Nicole Yono-atisha | Pediatrics | 6777 Maple Road, West Bloomfield, MI 48322 | 2007-05-01 |
| 1346356276 | Steven B Glickfield | Pediatrics | 6400 Farmington Rd, Ste 10, West Bloomfield, MI 48322 | 2006-08-22 |
| 1184647364 | Jennifer Cohen | Pediatrics | 6400 Farmington Road, Ste Ten, West Bloomfield, MI 48322 | 2006-07-26 |
| 1386672525 | Evandro Silveira | Pediatrics | 5793 W Maple Rd, Suite 153, West Bloomfield, MI 48322-4478 | 2006-06-28 |
| 1437500774 | Mollie E Blanchard-brown | Pediatrics | 6530 Farmington Rd, West Bloomfield, MI 48322-3216 | 2016-06-28 |
| 1770979130 | Myo Sabai Aye | Pediatrics | 6777 W Maple Rd, West Bloomfield, MI 48322 | 2015-04-13 |
| 1699018952 | Jordan Elizabeth Kridler | Pediatrics | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-04-04 |
| 1407083041 | Matthew Joseph Hornik | Pediatrics | 2300 Haggerty Rd, Suite 2110, West Bloomfield, MI 48323-2184 | 2009-06-22 |
| 1104010065 | Synergy Health, PC | Pediatrics | 33200 W 14 Mile Rd, Suite 150, West Bloomfield, MI 48322-3549 | 2007-09-04 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
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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.