DR. WILLIE JAMES PETTIWAY SR. (NPI# 1275669293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275669293 |
| Entity Type | Individual |
| Full Name | DR. WILLIE JAMES PETTIWAY SR. |
| Credential | MD |
| Practice Address |
8251 W 8 Mile Rd Detroit MI 48221 |
| Mailing Address |
8251 W 8 Mile Rd Detroit MI 48221-1195 |
| Practice Telephone | 3139663300 |
| Mailing Telephone | 3133458120 |
| Mailing Fax Number | 3133409032 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301049323 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
8251 W 8 MILE RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659520237 | Lighthouse Medical Center PC | Internal Medicine | 8251 W 8 Mile Rd, Detroit, MI 48221-1195 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359285 | Sutherlond Homes | Home Infusion | 20499 Ilene, Detroit, MI 48221 | 2019-07-25 |
| 1447743216 | Prolific Care Home Health Svc | Home Health | 10141 W. Mcnichols St., Detroit, MI 48221 | 2018-06-07 |
| 1982103297 | Diamond A Lowe | Technician/Technologist | 16654 Monte Vista, Detroit, MI 48221 | 2018-02-02 |
| 1356871941 | Tamika Baines | Driver | 19939 Indiana, Detroit, MI 48221 | 2017-06-15 |
| 1821535667 | Tanisha Floyd | Behavior Technician | 18307 Mendota St., Detroit, MI 48221 | 2017-01-31 |
| 1225585250 | Maan Down LLC | Custodial Care Facility | 16885 Ilene St, Detroit, MI 48221 | 2016-09-07 |
| 1285013979 | Thiera Danyal Lane | Counselor | 11000 W Mcnichols Rd Ste 309, Detroit, MI 48221 | 2015-05-27 |
| 1679967038 | Remy Onimoe | Pharmacist | 16191 Livernois Avenue, Southfield, MI 48221 | 2015-03-24 |
| 1669863098 | Loving Hands Accessible Service L.L.C. | Driver | 16230 Mendota, Detroit, MI 48221 | 2015-02-06 |
| 1487916433 | Social Care Administrators LLC | Case Management | 11000 W. Mcnicholas, Ste 212, Detroit, MI 48221 | 2012-06-14 |
| Find all providers in zip 48221 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1093329849 | Hey Doc, P.C. | Internal Medicine | 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 | 2020-08-31 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1871053751 | Jacob Diskin | Internal Medicine | 4201 St. Antione, Uhc 9c, Detroit, MI 48201 | 2019-03-25 |
| 1770092272 | Daniel Saul Mizrahi | Internal Medicine | 7633 E Jefferson Ave Ste 250, Detroit, MI 48214-3731 | 2017-09-27 |
| 1700304912 | Premier Care Rehabilitation | Internal Medicine | 10641 W Mcnichols Rd, Detroit, MI 48221-2303 | 2017-09-07 |
| 1427400431 | Aryan Shiari | Internal Medicine | 3990 John R St Rm Room3925, Detroit, MI 48201-2018 | 2016-07-01 |
| 1700236478 | Osh-mi Physicians Group PC | Internal Medicine | 18600 Fenkell St, Detroit, MI 48223-2315 | 2016-06-14 |
| 1184070815 | Khalil Ibrahim Bourji | Internal Medicine | 4201 Saint Antoine St Ste 4h, Detroit, MI 48201 | 2016-05-12 |
| 1124403779 | Swetha Edla | Internal Medicine | 22101 Moross Road Pb Suite 50, Detroit, MI 48236 | 2015-07-24 |
| Find all providers in DETROIT | ||||
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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.