HENRY FORD MEDICAL CENTER COLUMBUS (NPI# 1295011138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295011138 |
Entity Type | Organization |
Organization Name | HENRY FORD MEDICAL CENTER COLUMBUS |
Practice Address |
39450 W 12 Mile Rd Novi MI 48377-3600 |
Mailing Address |
2457 Washington Ave Lincoln Park MI 48146-2963 |
Practice Telephone | 2483447380 |
Practice Fax Number | 2483446699 |
Mailing Telephone | 2483447380 |
Mailing Fax Number | 2483446699 |
Enumeration Date | 2011-10-24 |
Last Update Date | 2011-10-24 |
Authorized Official Name | MS. LYNNE ASHLEY STEWART (NURSE PRACTITIONER) |
Authorized Official Telephone | 2483447380 |
Authorized Official Credential | ANP-BC |
Is Organization Subpart | Y |
Parent Organization Name | HENRY FORD HEALTH SYSTEM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
4704196861 | MI | Ambulatory Health Care Facilities |
Street Address |
39450 W 12 MILE RD |
City | NOVI |
State | MI |
Zip Code | 48377-3600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801994512 | Heather Heilman | Social Worker | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2006-09-20 |
1750926846 | Bryce Alexander Groshek | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-11-12 |
1962975268 | Kelly Nohl | Dietitian, Registered | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2019-01-09 |
1285121376 | Michele A Zubalik | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-04-16 |
1295230944 | Rebecca Lynn Knodel | Occupational Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-26 |
1275036709 | David Tomsich | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
1760985170 | Ashley Nebel | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-12 |
1750883104 | Melissa Joy Simon | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-03-01 |
1891297404 | Michelle Louise Thibodeau | Physical Therapist | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-02-28 |
1609384569 | Alexandrina Berghian | Nurse Practitioner | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2018-01-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
Find all providers in zip 48377 |
Taxonomy Code | 261QX0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology |
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
Notes: [7/1/2003: new] |
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1215119672 | Hope Cancer Clinic Pllc | Clinic/Center | 14555 Levan Rd Ste 110, Livonia, MI 48154-5083 | 2007-11-28 |
1366532590 | Dearborn Oncology Associates PC | Clinic/Center | 233 Chestnut Cir, Bloomfield Hills, MI 48304-2105 | 2006-10-16 |
1902329501 | Academic Hematology Oncology, PC | Clinic/Center | 23850 Van Born Rd, Dearborn Heights, MI 48125-2325 | 2017-07-25 |
1558741819 | Vicinitas Michigan, Inc. | Clinic/Center | 30600 Telegraph Rd, Suite 2345, Bingham Farms, MI 48025-4530 | 2015-06-02 |
1750650008 | Veterans Affairs Ann Arbor Healthcare System | Clinic/Center | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2011-12-15 |
1225306392 | St Mary Mercy Physician Practices | Clinic/Center | 14555 Levan Rd, Suite 112, Livonia, MI 48154-5083 | 2011-12-05 |
1225321045 | Lakeland Medical Practices | Clinic/Center | 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9159 | 2011-05-26 |
1134459662 | Parvez Khan Md,pc | Clinic/Center | 861 Monroe St, Dearborn, MI 48124-2308 | 2010-01-06 |
1972734317 | Martin I. Schock, Md PC | Clinic/Center | 31700 Van Dyke Ave, Suite 110, Warren, MI 48093-7949 | 2009-08-03 |
1326239849 | Amnuay Singhakowinta Md PC | Clinic/Center | 785 N Lapeer Rd, Lake Orion, MI 48362-4012 | 2007-08-08 |
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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.