HENRY FORD HEALTH SYSTEM (NPI# 1205909892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205909892 |
| Entity Type | Organization |
| Organization Name | HENRY FORD HEALTH SYSTEM |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Practice Telephone | 3139162600 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES CONNELLY (SR VP CFO) |
| Authorized Official Telephone | 3138768714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
83190 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1386068609 | Henry Ford Health System | Rehabilitation Hospital | 1258 Franklin Rd, Berkley, MI 48072-2116 | 2014-02-06 |
| 1861787558 | Henry Ford Health System | Clinic/Center | 29200 Schoolcraft, Livonia, MI 48150 | 2011-06-10 |
| 1336449958 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 39630 W 14 Mile Rd, Walled Lake, MI 48390-3909 | 2010-10-29 |
| 1992037634 | Henry Ford Health System | Clinic/Center | 2799 Wg Blvd, Detroit, MI 48202 | 2010-02-05 |
| 1316103468 | Henry Ford Health System | Pharmacy | 800 Chrysler Dr, Ste W2001, Auburn Hills, MI 48326-2757 | 2008-07-29 |
| 1073799276 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 1191 South Blvd E, Rochester Hills, MI 48307-5453 | 2008-01-17 |
| 1174725659 | Henry Ford Health System | Specialist | 15401 E Jefferson Ave, Grosse Pointe Park, MI 48230-1328 | 2007-06-05 |
| 1770793325 | Henry Ford Health System | Urology | Vattikuti Urology Institute, K-9, Henry Ford Hospital, 2799 W. Bethune Avenue, Detroit, MI 48202 | 2007-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HENRY FORD HEALTH SYSTEM | 1191 South Blvd E, Rochester Hills, MI 48307 |
| New York State Corporations | HENRY FORD HEALTH SYSTEM | 122 East 42nd Street, 18th Floor, New York, New York 10168 |
| Oregon Corporations, Companies and Business Names | HENRY FORD HEALTH SYSTEM | C/o Hfhs Governance Office, One Ford Place, 5b, Detroit, MI 48202 |
| Washington State Corporations | HENRY FORD HEALTH SYSTEM | 1191 South Blvd E, Rochester Hls, MI 48307-5453 |
| Vermont Business Registrations | HENRY FORD HEALTH SYSTEM CORPORATION | 735 John R Road Ste 150, Troy, MI 48083 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437172749 | Edward A Clay | Internal Medicine | 20001 Greenfield Rd, Suite 6, Detroit, MI 48235-1870 | 2006-07-26 |
| 1992230114 | Kajali Mishra | Internal Medicine | 2799 W. Grand Boulevard, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202 | 2017-04-25 |
| 1669823902 | Suraj Suresh | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-06-28 |
| 1063733111 | Kirthi Konda Lilley | Internal Medicine | 4646 John R St, 11m-gas, Detroit, MI 48201-1916 | 2010-06-11 |
| 1467770255 | Ashina Deepika Singh | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2010-05-04 |
| 1831328707 | Stephanie Judd | Internal Medicine | 4646 John R St, 11m-gas, Detroit, MI 48201-1916 | 2009-07-13 |
| 1760650006 | Suneetha V Duttala | Internal Medicine | 3990 John R St, 6 Hudson, Detroit, MI 48201-2018 | 2008-02-20 |
| 1700084712 | Radhika Aggarwal | Internal Medicine | 2799 W Grand Blvd, K7, Detroit, MI 48202-2608 | 2007-07-11 |
| 1457560161 | Jeffrey Christian Formoso Tang | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-21 |
| 1528180601 | Reena Salgia | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-04-06 |
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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.