WYANDOTTE MEDICAL PRACTICES (NPI# 1235350331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235350331 |
| Entity Type | Organization |
| Organization Name | WYANDOTTE MEDICAL PRACTICES |
| Practice Address |
3333 Biddle Ave Suite B Wyandotte MI 48192 |
| Mailing Address |
3333 Biddle St Suite C Wyandotte MI 48192-6284 |
| Practice Telephone | 7342828650 |
| Practice Fax Number | 7342828651 |
| Mailing Telephone | 7342828650 |
| Mailing Fax Number | 7342828651 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | MATTHEW WOLOCKO (DIRECTOR) |
| Authorized Official Telephone | 7343243591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | DD2881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137207 | Wyandotte Medical Practices | Orthopaedic Surgery | 3200 Biddle Ave, Wyandotte, MI 48192-5937 | 2006-06-04 |
| 1013117670 | Wyandotte Medical Practices | Obstetrics & Gynecology | 3851 West Rd, Suite 1, Trenton, MI 48183-2350 | 2007-07-23 |
| 1124246228 | Wyandotte Medical Practices | Surgery | 3333 Biddle St, Ste C, Wyandotte, MI 48192-6284 | 2007-04-23 |
| 1356566947 | Wyandotte Medical Practices | Family Medicine | 1640 Fort St, Suite D, Trenton, MI 48183-2040 | 2007-04-17 |
| Street Address |
3333 BIDDLE AVE SUITE B |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265481717 | David L Wolf | Obstetrics & Gynecology | 3333 Biddle Ave, Suite A, Wyandotte, MI 48192-6284 | 2006-05-10 |
| 1184942138 | Bridget Antonia Bonello | Nurse Practitioner | 3333 Biddle Ave, Wyandotte, MI 48192-6284 | 2010-05-13 |
| 1477798981 | Lindsey Guerriero Battistelli | Dietitian, Registered | 3333 Biddle Ave, Suite C, Wyandotte, MI 48192-6284 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1437573045 | Mitchell Andrew Goettman | Surgery | 2333 Biddle Ave # M, Wyandotte, MI 48192-4668 | 2014-02-18 |
| 1417052424 | Krishna K. Sawhney | Surgery | Wyandotte Hospital, 2333 Wyandotte, Wyandotte, MI 48192 | 2006-09-14 |
| 1053424051 | Myung S Kim | Surgery | 3333 Biddle St, Suite C, Wyandotte, MI 48192-6284 | 2006-08-16 |
| 1780213959 | Macklin Loveland | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-08 |
| 1194354993 | Jack Avedikian | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-03 |
| 1972132934 | Caleb Robert Alley | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-02 |
| 1134681851 | Christine Marie Joliat | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2019-04-02 |
| 1962963264 | Bedir Akbar | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2019-03-28 |
| 1104386044 | Afroze Ahmed | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2019-03-25 |
| Find all providers in WYANDOTTE | ||||
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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.