RICHARD JOHN BLOOMINGDALE (NPI# 1245573716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245573716 |
| Entity Type | Individual |
| Full Name | RICHARD JOHN BLOOMINGDALE |
| Credential | MD |
| Practice Address |
3555 W 13 Mile Rd Royal Oak MI 48073-6710 |
| Mailing Address |
3555 W 13 Mile Rd Department of Cardiology Royal Oak MI 48073 |
| Practice Telephone | 2488985000 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2018-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301103582 | MI | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 4301103582 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4201 Saint Antoine St, 5c-uhc Department of Internal Medicine, Detroit, MI 482012153 | 3135775030 | 3137454707 |
| Street Address |
3555 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407832884 | Lisa Jane Faia | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2005-12-19 |
| 1710412671 | Mikel Mikhail | Ophthalmology | 3555 W 13 Mile Rd, Ste Ll-20, Royal Oak, MI 48073-6710 | 2017-04-27 |
| 1619352176 | Meghan C. Liuzzo | Nurse Practitioner | 3555 W 13 Mile Rd, Suite N120a, Royal Oak, MI 48073-6710 | 2015-07-27 |
| 1497144943 | William Beaumont Hospital | General Acute Care Hospital | 3555 W 13 Mile Rd, N120, Royal Oak, MI 48073-6710 | 2015-01-21 |
| 1255738662 | Elizabeth Francek | Nurse Practitioner | 3555 W 13 Mile Rd, N120, Royal Oak, MI 48073-6710 | 2014-12-01 |
| 1689096331 | Jessica Kenaya | Nurse Practitioner | 3555 W 13 Mile Rd, Suite 605, Royal Oak, MI 48073-6710 | 2014-01-15 |
| 1982967998 | Prethy Rao | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2012-06-25 |
| 1538325972 | University Neurosurgical Associates, PC | Neurological Surgery | 3555 W 13 Mile Rd, Ste N220, Royal Oak, MI 48073-6710 | 2008-08-05 |
| 1841486172 | Sandeep Randhawa | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2007-09-20 |
| 1215003793 | Associated Retinal Consultants, PC | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427567858 | Beaumont Medical Group-hospital -based Services | Hospitalist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-09-28 |
| 1649697517 | Chloe Habean Kim | Hospitalist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2014-03-27 |
| 1811334576 | Abdallah Haidar | Hospitalist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2013-06-04 |
| 1841583200 | Karoub Hospital Services Plc | Hospitalist | 4045 W 13 Mile Rd, Royal Oak, MI 48073-6640 | 2011-05-18 |
| 1568619450 | Parag Somalingam | Hospitalist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2008-08-21 |
| 1437312337 | Poonam Mishra | Hospitalist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2008-07-10 |
| 1922213131 | Ecaterina Cretu | Hospitalist | 3601 W. 13 Mile Road, Royal Oak, MI 48073 | 2007-05-11 |
| 1831216027 | Teodora Nasta | Hospitalist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-03-23 |
| 1639226699 | William Beaumont Hospital | Hospitalist | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2007-01-04 |
| 1588764328 | Alice Kathleen Makris | Hospitalist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2006-09-22 |
| Find all providers in ROYAL OAK | ||||
Please comment or provide details below to improve the information on RICHARD JOHN BLOOMINGDALE.
| 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.