SAMI A. MOUMNEH (NPI# 1205904018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205904018 |
Entity Type | Individual |
Full Name | SAMI A. MOUMNEH |
Credential | M.D. |
Practice Address |
Henry Ford Health System 2799 West Grand Blvd. Detroit MI 48202 |
Practice Telephone | 3139167425 |
Practice Fax Number | 3138743623 |
Mailing Telephone | 3139167425 |
Enumeration Date | 2006-12-01 |
Last Update Date | 2012-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 4301057311 | MI | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 4301057311 | MI | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | 4301057311 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CHAMPUS-CHAMPUS | SM057311 | 01 | |
COMMERCIAL-COMMERCIAL NUMBER | SM057311 | 01 | |
MI | 312053010 | 05 | |
BLUE CROSS-BLUE CROSS | 700H262220 | 01 |
Street Address |
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BLVD. |
City | DETROIT |
State | MI |
Zip Code | 48202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336147461 | Joseph Lawrence Lelli | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-07-12 |
1053794859 | Ali Malik | Podiatrist | Henry Ford Health System, 1 Ford Pl Ste 2e, Detroit, MI 48202 | 2015-06-30 |
1730389198 | Folusho Everton Ogunfiditimi | Physician Assistant | Henry Ford Health System, 2799 West Grand Blvd., Detroit, MI 48202 | 2007-07-23 |
1598897696 | Geoffrey S. Mwaungulu | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-03-12 |
1578606463 | Rebecca S. Lurcott | Ophthalmology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-14 |
1184767949 | Jan Rival | Internal Medicine | Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 | 2007-02-14 |
1295875342 | Vinaya Vallabhaneni | Preventive Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-07 |
1699821157 | Morton B. Cash | Radiology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-26 |
1881748242 | Felix Umansky | Neurological Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
1558415901 | Sidney Goldstein | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
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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 |
Find all providers in zip 48202 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
1235636408 | Healthy Kids Plc | Pediatrics | 18060 Conant St, Detroit, MI 48234-1628 | 2018-04-12 |
1841720539 | Krystal Yee-yun Chan-zlatopolsky | Pediatrics | 22201 Moross Rd Ste 80, Detroit, MI 48236-2166 | 2017-06-14 |
1508220062 | Marlisa Rose Wolf | Pediatrics | Children's Hospital of Mi - 3rd Fl, 3901 Beaubien, Detroit, MI 48201 | 2016-04-11 |
1821418419 | Christina Louise Santia | Pediatrics | Children's Hospital of Mi/ Spec Ctr, 3950 Beaubien Garden Level, Detroit, MI 48201 | 2014-04-22 |
1033537089 | Kimberly Lynn Herrmann | Pediatrics | Children's Hospital of Mi / Spec Ctr, 3950 Beaubien, Detroit, MI 48201 | 2014-04-06 |
1932540622 | Ramya Deepthi Billa | Pediatrics | 3901 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-07-10 |
1942646658 | Silpa Nadella | Pediatrics | 3950 Beaubien St Fl 4, Detroit, MI 48201-2166 | 2013-05-21 |
1770826984 | Lonetta L Postell | Pediatrics | 3031 W. Grand Blvd, 800, Detroit, MI 48202-2119 | 2013-04-05 |
1578806964 | Scott C Grant | Pediatrics | Chm/specialty Center, 3950 Beaubien 1st Fl, Detroit, MI 48201 | 2013-04-03 |
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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.