FAMILY MEDICINE OBSTETRICS OF NORTHVILLE (NPI# 1275812844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275812844 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE OBSTETRICS OF NORTHVILLE |
| Practice Address |
422 N Center St Northville MI 48167-1224 |
| Practice Telephone | 2483481131 |
| Practice Fax Number | 2483481170 |
| Mailing Telephone | 2483481131 |
| Mailing Fax Number | 2483481170 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | ROBERT BRUMMELER (PHYSICIAN) |
| Authorized Official Telephone | 2483481131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301084582 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
422 N CENTER ST |
| City | NORTHVILLE |
| State | MI |
| Zip Code | 48167-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551893 | Alan J. Bloch | Podiatrist | 422 N Center St, Suite B, Northville, MI 48167-1224 | 2005-07-09 |
| 1669974556 | Jennifer Marie Gardner | Social Worker | 422 N Center St, Northville, MI 48167-1224 | 2018-03-06 |
| 1124430806 | Angela Renee Jacob | Podiatrist | 422 N Center St, Suite B, Northville, MI 48167 | 2014-05-29 |
| 1871877688 | Pamela A Gumkowski | Dietitian, Registered | 422 N Center St, Northville, MI 48167-1224 | 2011-09-29 |
| 1821391848 | Envision Medical Group Pllc | Family Medicine | 422 N Center St, Northville, MI 48167-1224 | 2010-12-14 |
| 1821309097 | Christopher L Mcgrew | Physician Assistant | 422 N Center St, Northville, MI 48167-1224 | 2010-06-23 |
| 1235456609 | Envision Medical Group Pllc | Family Medicine | 422 N Center St, Suite B, Northville, MI 48167-1224 | 2010-04-26 |
| 1639392780 | Alan J. Bloch Dpm, Pllc | Podiatrist | 422 N Center St, Suite B, Northville, MI 48167-1224 | 2007-04-10 |
| 1376679399 | Marsha Billes | Family Medicine | 422 N Center St, Northville, MI 48167-1224 | 2007-02-26 |
| 1427194927 | Main Street Family Medicine P C | Family Medicine | 422 N Center St, Northville, MI 48167-1224 | 2007-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277873 | Kathleen Mary Vollman | Nursing Care | 21091 Boulder Cir, Northville, MI 48167 | 2019-04-02 |
| 1851877211 | Saleh Medical Innovations Consulting Plc | Clinic/Center | 9308 Hickory Ridge Road, Northville, MI 48167 | 2018-07-18 |
| 1811488877 | Carrie Millis Babe | Marriage & Family Therapist | 23095 Kirkland Ct, Northville, MI 48167 | 2018-05-25 |
| 1134671761 | Richard Roff | Technician, Other | 3253 Lancaster Ln, Northville, MI 48167 | 2016-10-31 |
| 1508241613 | Naastar Enterprises, LLC | Non-emergency Medical Transport (VAN) | 20871 W. Glen Haven Circle, Novi, MI 48167 | 2015-07-30 |
| 1396159083 | Traci L Rasor | Registered Nurse | 143 Cadycentre Unit 250, Northville, MI 48167 | 2014-06-20 |
| 1932459930 | Amanda Lea Williams | Nurse Practitioner | 44300 Five Mile Rd, Northville Twp, MI 48167 | 2012-09-17 |
| 1346505914 | Richard Thomas Mac Laren | Emergency Medicine | 51920 8 Mile Road, Northville, MI 48167 | 2012-07-10 |
| 1053647818 | Mark S. Hunter, D.m.d. P.l.c. | Dentist | 149 N. Center, Suite 101, Northville, MI 48167 | 2009-10-28 |
| 1437384088 | Maria Conley | Dietitian, Registered | 40000 West 8 Mile Rd, Northville, MI 48167 | 2009-05-27 |
| Find all providers in zip 48167 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851569990 | Catherine Mcauley Health Services | Obstetrics & Gynecology | 43333 7 Mile Rd, Suite 2, Northville, MI 48167-3259 | 2008-02-12 |
| 1639598733 | Danica Maureen Gallardo Aquino | Obstetrics & Gynecology | 39901 Traditions Dr, Suite 210, Northville, MI 48168-9493 | 2014-04-16 |
| 1407115744 | Lauren Elizabeth Owens | Obstetrics & Gynecology | 39901 Traditions Dr, Suite 210, Northville, MI 48168-9493 | 2012-05-07 |
| 1609197797 | Anita Monique Malone | Obstetrics & Gynecology | 39901 Traditions Dr, Suite 240, Northville, MI 48169-9493 | 2010-06-12 |
| 1710154307 | Michelle Helena Moniz | Obstetrics & Gynecology | 39901 Traditions Dr, Suite 240, Northville, MI 48168-9493 | 2008-05-13 |
| 1518018597 | Sara C Frost | Obstetrics & Gynecology | 39901 Traditions Dr, Suite 240, Northville, MI 48168-9493 | 2007-01-16 |
| 1770670564 | Lauren B Zoschnick | Obstetrics & Gynecology | 39901 Traditions Dr, Suite 240, Northville, MI 48168-9493 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
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| City | NORTHVILLE |
| Zip Code | 48167 |
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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.