MARC S HERSCHFUS (NPI# 1285707513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285707513 |
| Entity Type | Individual |
| Full Name | MARC S HERSCHFUS |
| Credential | MD |
| Practice Address |
6001 W Outer Dr Ste 429 Detroit MI 48235-2614 |
| Mailing Address |
25219 Kingshire Rd Southfield MI 48075-2056 |
| Practice Telephone | 3138613500 |
| Mailing Telephone | 2485936690 |
| Mailing Fax Number | 2485936691 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301058519 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 1006329272 | 01 |
| MI | 103365444 | 05 |
| Street Address |
6001 W OUTER DR STE 429 |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780611 | Susan Elaine Harold | Internal Medicine | 6001 W Outer Dr, Suite 429, Detroit, MI 48235-2614 | 2006-02-17 |
| 1891396800 | Ashley Sentell | Nurse Practitioner | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2020-11-05 |
| 1841815974 | Heba Ahmed Elmadhoun | Pharmacist | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2020-06-15 |
| 1710495346 | Katherine Memisevic | Nurse Anesthetist, Certified Registered | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2018-01-17 |
| 1467985911 | Omar Elmadhoun | Student in an Organized Health Care Education/Training Program | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2017-04-11 |
| 1083161905 | Julia Marie Burkhardt | Physician Assistant | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2016-09-08 |
| 1902251879 | Mi Midwife | Advanced Practice Midwife | 6001 W Outer Dr, Suite #320, Detroit, MI 48235-2614 | 2016-04-28 |
| 1255708343 | Emily Bigas | Dietitian, Registered | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2015-08-25 |
| 1407237548 | Elise Wiersma Paulk | Nurse Practitioner | 6001 W Outer Dr, Suite 445, Detroit, MI 48235-2614 | 2015-06-15 |
| 1457754533 | Reina Brojan Pearson | Nurse Practitioner | 6001 W Outer Dr, Suite 114, Detroit, MI 48235-2614 | 2014-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
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| 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.