WILLIAM BEAUMONT HOSPITAL (NPI# 1184174963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184174963 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Practice Address |
6900 Orchard Lake Rd Ste 100 Beaumont Urgent Care West Bloomfield MI 48322-3424 |
| Mailing Address |
26901 Beaumont Blvd Southfield MI 48033-4716 |
| Practice Telephone | 2488554134 |
| Mailing Telephone | 9475221964 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | CAROLYN WILSON (EVP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9475223326 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAUMONT URGENT CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | MI | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207P00000X | Emergency Medicine | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0F359270 | 01 |
| MI | BCBSM | 0F362410 | 01 |
| MI | BCBSM | 0F399250 | 01 |
| 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 |
6900 ORCHARD LAKE RD STE 100 BEAUMONT URGENT CARE |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639351 | Gina Gora | Family Medicine | 6900 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3424 | 2005-06-16 |
| 1578048096 | Wellstreet Urgent Care of Michigan | Non-Pharmacy Dispensing Site | 6900 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3424 | 2018-10-01 |
| 1932690120 | Sarah Nicole Roberts | Nurse Practitioner | 6900 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3424 | 2018-05-23 |
| 1881105039 | Beaumont Medical Group- Specialty Services | Clinic/Center | 6900 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3424 | 2017-10-16 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528321858 | Michael Casey-palmisano | Emergency Medicine | 5742 Putnam Dr, Suite 4, West Bloomfield, MI 48323-3724 | 2012-06-21 |
| 1083995179 | Howard Stephen Lasser | Emergency Medicine | 5968 Shillingham Dr, West Bloomfield, MI 48322-1559 | 2011-09-01 |
| 1023254521 | Jonathan David Samuels | Emergency Medicine | 5111 Cedarhurst Dr, West Bloomfield, MI 48322-2026 | 2009-01-05 |
| 1346415379 | Varsha Mendiratta | Emergency Medicine | 5584 Putnam Dr, West Bloomfield, MI 48323-3720 | 2008-04-30 |
| 1801091970 | Wael Hakmeh | Emergency Medicine | 6778 Charing Xing, West Bloomfield, MI 48322-3001 | 2007-06-19 |
| 1821049610 | Elizabeth R Zide | Emergency Medicine | 5807 W Maple Rd Ste 171, West Bloomfield, MI 48322-4483 | 2006-05-15 |
| 1528486842 | Chadwick Shirk | Emergency Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2014-04-03 |
| 1962846246 | Aaron Lewandowski | Emergency Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-04-17 |
| 1073804134 | Daniel N Frangie | Emergency Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2011-04-25 |
| 1740419571 | Abby Simone Bonato | Emergency Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2009-07-14 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
Please comment or provide details below to improve the information on WILLIAM BEAUMONT HOSPITAL.
| 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.