GATEWAY OBGYN ASSOCIATES PLLC


Address: 2888 W Grand Blvd, St. 287, Detroit, MI 48202-2612
Phone: 3138754200

GATEWAY OBGYN ASSOCIATES PLLC (NPI# 1134355902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134355902
Entity Type Organization
Organization Name GATEWAY OBGYN ASSOCIATES PLLC
Practice Address 2888 W Grand Blvd
St. 287
Detroit
MI 48202-2612
Practice Telephone 3138754200
Mailing Telephone 3138754200
Enumeration Date 2009-06-06
Last Update Date 2012-07-19
Authorized Official Name THEODORE KEVIN GRAHAM (PRESIDENT)
Authorized Official Telephone 3138754200
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 4301050455 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 2888 W GRAND BLVD
ST. 287
City DETROIT
State MI
Zip Code 48202-2612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710986450 Felicia R. Randolph Internal Medicine 2888 W Grand Blvd, Detroit, MI 48202-2612 2005-07-15
1518479559 Noureyah Rageh Nurse Practitioner 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-10-31
1245741206 Danita Mayes Dixon Nurse Practitioner 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-10-18
1154862787 Kimberly Louise Thornton Pharmacist 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-03-15
1548638380 Fareeha Nadeem Counselor 2888 W Grand Blvd, Detroit, MI 48202-2612 2015-09-10
1407259674 Bakari Wallace Social Worker 2888 W Grand Blvd, Detroit, MI 48202-2612 2014-10-02
1720405418 Brittney Daftuar Social Worker 2888 W Grand Blvd, Detroit, MI 48202-2612 2014-03-19
1801148911 The Wellness Plan Medical Centers Dentist 2888 W Grand Blvd, Detroit, MI 48202-2612 2012-10-12
1780953059 Stephanie L Gray Counselor 2888 W Grand Blvd, Suite 360, Detroit, MI 48202-2612 2011-12-15
1497052583 Gayatri Sham Joshi Physical Therapist 2888 W Grand Blvd, Detroit, MI 48202-2612 2011-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992009955 Maurice-andre Recanati Obstetrics & Gynecology 4201 Saint Antoine St Ste 4c, Detroit, MI 48201-2153 2011-01-06
1194041830 Eberechukwu Jill Azumah Obstetrics & Gynecology 5960 Bedford St, Detroit, MI 48224-2651 2010-04-19
1134383508 Haider S Mahdi Obstetrics & Gynecology 3990 John R, 7 Brush North, Wayne State University/ Detroit Medical Center,obgyn, Detroit, MI 48201 2008-07-15
1609040484 Yhfmc PC Obstetrics & Gynecology 15266 Grand River Ave, Detroit, MI 48227-2213 2008-04-14
1619191954 F Seabrooks Obstetrics & Gynecology 19305 W 7 Mile Rd, Detroit, MI 48219-2718 2007-04-11
1326168188 Mary Ibe Obstetrics & Gynecology 3980 John R, Detroit, MI 48201 2007-03-29
1144365545 George W Gibson Obstetrics & Gynecology 15201 W Mcnichols Rd, Detroit, MI 48235-3717 2007-02-21
1780764712 Romeo H Tabbilos Obstetrics & Gynecology 3011 West Grand Boulevard, Suite 428, Detroit, MI 48202 2006-10-16
1497862189 Terry A Wynn Obstetrics & Gynecology 14103 Fenkell St, Detroit, MI 48227-3214 2006-08-25
1104856897 Ann R Gillett-elrington Obstetrics & Gynecology 13901 E Jefferson Ave, Detroit, MI 48215-2720 2006-07-05
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

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.

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