DR. GREGG WARREN (NPI# 1184651366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184651366 |
| Entity Type | Individual |
| Full Name | DR. GREGG WARREN |
| Credential | DO |
| Practice Address |
28625 Northwestern Hwy Suite 150 Southfield MI 48034-1828 |
| Practice Telephone | 2489450000 |
| Practice Fax Number | 2483550724 |
| Mailing Telephone | 2489450000 |
| Mailing Fax Number | 2483550724 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 5101011119 | MI | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101011119 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CARE NETWORK | 700F281060 | 01 |
| MI | 1184651366 | 05 | |
| MI | BLUE SHIELD | 700F314390 | 01 |
| Street Address |
28625 NORTHWESTERN HWY SUITE 150 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543874 | Sidney B Beck | Otolaryngology | 28625 Northwestern Hwy, Ste 1507, Southfield, MI 48034-1828 | 2005-10-26 |
| 1720369358 | Michigan Healthcare Professionals | Clinic/Center | 28625 Northwestern Hwy, Suite C, Southfield, MI 48034-1828 | 2011-09-09 |
| 1356661722 | Christy Stockton Parent | Physician Assistant | 28625 Northwestern Hwy, Southfield, MI 48034-1828 | 2010-06-08 |
| 1285873430 | Mmg 1pc | Physical Medicine & Rehabilitation | 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034-1828 | 2009-02-11 |
| 1033367362 | Herman Kado | Internal Medicine | 28625 Northwestern Hwy, Suite 150, Southfield, MI 48034-1828 | 2008-08-28 |
| 1215103940 | Mmg 1pc | General Practice | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2008-05-02 |
| 1255506556 | Mi Healthcare Professionals PC | Clinic/Center | 28625 Northwestern Hwy, Suite 100, Southfield, MI 48034-1828 | 2008-04-28 |
| 1972672103 | Arthur A Efros | Internal Medicine | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-11-06 |
| 1629184049 | Mmg 1pc | Internal Medicine | 28625 Northwestern Hwy, Suite 223, Southfield, MI 48034-1828 | 2006-08-21 |
| 1174530398 | Nancy B. Berman | Nurse Practitioner | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1083052377 | Rani Bashiti | Radiology | 16001 W. 9 Mild Rd, Southfield, MI 48075 | 2013-06-07 |
| 1740583145 | Silver Pine Imaging LLC | Radiology | 20475 W 10 Mile Rd, Southfield, MI 48075-6105 | 2010-12-08 |
| 1639497274 | Sentinel Health Staffing LLC | Radiology | 29155 Northwestern Hwy Ste 642, Southfield, MI 48034-1011 | 2010-05-06 |
| 1992866438 | Osteoporosis Testing Centers Inc | Radiology | 26206 W 12 Mile Road, Ste 103, Southfield, MI 48034 | 2006-12-12 |
| 1053428433 | Norberto Andaya Sugayan | Radiology | 5000 Town Ctr, 605, Southfield, MI 48075-1110 | 2006-08-23 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on DR. GREGG WARREN.
| 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.