CHERYL HOPE HACK (NPI# 1144313107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144313107 |
| Entity Type | Individual |
| Full Name | CHERYL HOPE HACK |
| Credential | M.D. |
| Practice Address |
30301 Woodward Ave Suite Ll 165 Royal Oak MI 48073-0979 |
| Mailing Address |
25219 W Roycourt Huntington Woods MI 48070-1741 |
| Practice Telephone | 2484359240 |
| Practice Fax Number | 2484354765 |
| Mailing Telephone | 2485420660 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
4301049051 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAPE ID | 2199 | 01 | |
| CAQH PROVIDER ID | 11277774 | 01 | |
| MI | 4171928 | 05 | |
| AETNA ID | 0004387354 | 01 | |
| WELLNESS | 1003675 | 01 | |
| OMNICARE ID | 41049 | 01 | |
| MI | BCBS PIN NUMBER | 3506336142 | 01 |
| Street Address |
30301 WOODWARD AVE SUITE LL 165 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576085 | Malhotra & Renusch Dds PC | Dentist | 30301 Woodward Ave, Ste. 220, Royal Oak, MI 48073-0979 | 2017-02-01 |
| 1023411972 | Sowrabh Paspulati Saibaba | Physical Therapist | 30301 Woodward Ave, Suite 200, Royal Oak, MI 48073-0979 | 2014-10-07 |
| 1184044976 | Michigan Pain Management LLC | Pain Medicine | 30301 Woodward Ave, Suite 240, Royal Oak, MI 48073-0979 | 2014-04-21 |
| 1184985145 | North Shore Injury Center, Inc. | Chiropractor | 30301 Woodward Ave, Suite 200, Royal Oak, MI 48073-0979 | 2012-06-06 |
| 1407986201 | Rhodonna Marie Anderson | Podiatrist | 30301 Woodward Ave, Suite 120, Royal Oak, MI 48073-0979 | 2007-03-07 |
| 1083768147 | Loren E. Hollander | Psychologist | 30301 Woodward Ave, Suite Ll165, Royal Oak, MI 48073-0979 | 2007-01-23 |
| 1962599530 | O'neal Wilson Koger Jr. | Dermatology | 30301 Woodward Ave, 120, Royal Oak, MI 48302 | 2006-10-06 |
| 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 | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457566382 | William Beaumont Hospital | Pediatrics | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851505978 | Terry Marc Dickson | Pediatrics | 745 S Garfield Ave, Suite C, Traverse City, MI 49686-3479 | 2007-05-09 |
| 1023177268 | Robert Bulten | Pediatrics | 4340 Burlingame Ave Sw, Wyoming, MI 49509-3770 | 2006-12-06 |
| 1063449247 | Marsha Dawn Rappley | Pediatrics | A110 Clinical Ctr, 138 Service Rd, East Lansing, MI 48824-1313 | 2006-06-26 |
| 1073093290 | Rose Margret Thacker | Pediatrics | 32100 Telegraph Rd Ste 185, Bingham Farms, MI 48025-2453 | 2018-08-16 |
| 1073024469 | Alison Campos | Pediatrics | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2017-10-12 |
| 1114375292 | Nicole Patrice Hamp | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5718 | 2016-05-30 |
| 1487068383 | Robin Johnson Cook | Pediatrics | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2014-06-18 |
| 1134431968 | Meghan Ruth Behrmann | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2010-07-09 |
| 1336353473 | The Behavioral Medicine Clinic of Northwest Michigan, Plc | Pediatrics | 745 S Garfield Ave, Suite C, Traverse City, MI 49686-3479 | 2007-05-09 |
| 1568558229 | Mark Alan Sloane | Pediatrics | 700 Mall Dr, Suite C, Portage, MI 49024-1800 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
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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.