WILLIAM BEAUMONT HOSPITAL (NPI# 1134178957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134178957 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Other Organization Name | BEAUMONT PROFESSIONAL SERVICES/ PULMONARY |
| Practice Address |
3601 W 13 Mile Rd 400 Fsc-pcs Royal Oak MI 48073-6712 |
| Practice Telephone | 2484233754 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | CAROLYN WILSON (EVP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9475223326 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP | 0F31234 | 01 |
| Other Name | Type Code |
|---|---|
| Beaumont Professional Services/ Pulmonary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1437600103 | William Beaumont Hospital | Pharmacy | 41965 Ecorse Rd Ste 100, Van Buren Twp, MI 48111-1164 | 2016-10-18 |
| 1881904365 | William Beaumont Hospital | Clinic/Center | 1026 Eleven Mile Road, Royal Oak, MI 48067-5401 | 2010-10-18 |
| 1093974016 | William Beaumont Hospital | Clinic/Center | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2008-06-05 |
| 1962413187 | William Beaumont Hospital | Clinic/Center | 15979 Hall Road, Suite 200, Macomb, MI 48044-5360 | 2006-08-11 |
| 1093744153 | William Beaumont Hospital | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2006-07-01 |
| 1699704700 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 28105 Woodward Ave, Berkley, MI 48072-0910 | 2006-07-01 |
| Street Address |
3601 W 13 MILE RD 400 FSC-PCS |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
| 1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
| 1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
| 1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
| 1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
| 1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
| 1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
| 1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180151 | Stanley Sherman | Internal Medicine | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2006-03-29 |
| 1942493838 | Abdulgadir Khalifa Adam | Internal Medicine | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2007-08-23 |
| 1699971713 | Enrique Calvo Ayala | Internal Medicine | 3535 W 13 Mile Rd Ste 344, Royal Oak, MI 48073-6770 | 2007-06-25 |
| 1548239023 | Robert Begle | Internal Medicine | 3535 W 13 Mile Rd, Ste. 507, Royal Oak, MI 48073-6710 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506684 | Night Hawk Sleep Systems, Inc. | Internal Medicine | 20836 Hall Rd Ste 232, Clinton Township, MI 48038-7227 | 2020-10-22 |
| 1598286262 | Younghwa Kwon | Internal Medicine | 16001 W 9 Mile Rd Ofc, Southfield, MI 48075-4818 | 2017-07-03 |
| 1679949150 | Morpheus International Sleep Solutions Pllc | Internal Medicine | 46472 Crystal Downs W, Northville, MI 48168-8483 | 2015-08-19 |
| 1972928513 | Gerald T Pruitt Do Pllc | Internal Medicine | 350 Whitehills Dr, East Lansing, MI 48823-2758 | 2014-02-19 |
| 1629408315 | Pulmonary & Critical Care One PC | Internal Medicine | 4160 John R St Ste 1011, Harper Professional Building, Detroit, MI 48201-2017 | 2013-11-18 |
| 1558630194 | Sue Killion Cammarata | Internal Medicine | 117 Clinton St, South Haven, MI 49090-1201 | 2011-12-28 |
| 1265712012 | Pulmonary Specialists of Michigan, PC | Internal Medicine | 23500 Park St., Suite #3, Dearborn, MI 48124 | 2011-08-25 |
| 1588899595 | Michigan Medical Patient Care | Internal Medicine | 2902 Bradford Street Ne, Grand Rapids, MI 49525 | 2009-05-19 |
| 1275774531 | Integrated Geriatric Services Pllc | Internal Medicine | 3080 Fleming Lake Dr, Ann Arbor, MI 48105-8000 | 2009-03-17 |
| 1487816419 | Advanced Pulmonary & Sleep Associates PC | Internal Medicine | 1110 N Telegraph Rd, Dearborn, MI 48124-1634 | 2008-07-01 |
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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.