WILLIAM BEAUMONT HOSPITAL (NPI# 1306825997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306825997 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Other Organization Name | BEAUMONT HOSPITAL, TROY |
| Practice Address |
44201 Dequindre Rd Troy MI 48085-1198 |
| Mailing Address |
26901 Beaumont Blvd Compliance Southfield MI 48033 |
| Practice Telephone | 2489648800 |
| Mailing Telephone | 9475221964 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | JOHN G. KERNDL (EXECUTIVE VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 9475223322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 630160 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS MICHIGAN | 00226 | 01 |
| MI | 1555379 | 05 |
| Other Name | Type Code |
|---|---|
| Beaumont Hospital, Troy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1437600103 | William Beaumont Hospital | Pharmacy | 41965 Ecorse Rd Ste 100, Van Buren Twp, MI 48111-1164 | 2016-10-18 |
| 1881904365 | William Beaumont Hospital | Clinic/Center | 1026 Eleven Mile Road, Royal Oak, MI 48067-5401 | 2010-10-18 |
| 1093974016 | William Beaumont Hospital | Clinic/Center | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2008-06-05 |
| 1962413187 | William Beaumont Hospital | Clinic/Center | 15979 Hall Road, Suite 200, Macomb, MI 48044-5360 | 2006-08-11 |
| 1093744153 | William Beaumont Hospital | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2006-07-01 |
| 1699704700 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 28105 Woodward Ave, Berkley, MI 48072-0910 | 2006-07-01 |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-1198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892468 | Mary Margaret Guerra | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2005-06-28 |
| 1578163523 | Laura Marie Metz | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-29 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1437756095 | Amanda Michelle Hirsch | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-07 |
| 1467059113 | Scott Matthew Grumeretz | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1285231944 | Brianne Patton | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
| 1720694300 | Justine Marie Doss | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-19 |
| 1649885872 | Sara Dawn Thueme | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-14 |
| 1316561772 | Jodi Marini | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1700176914 | Beth Israel Medical Center | General Acute Care Hospital | 2035 Dalesford Dr, Troy, MI 48098-2209 | 2011-04-10 |
| 1295036374 | St Joseph Mercy Oakland | General Acute Care Hospital | 1436 Lila Dr, Troy, MI 48085-3407 | 2010-11-05 |
| 1023587045 | Kettering Medical Center | General Acute Care Hospital | 600 W Main St, Troy, OH 45373-2928 | 2018-11-20 |
| 1952885915 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 1300 Massachusetts Ave, Troy, NY 12180-1628 | 2018-09-17 |
| 1952609851 | Hmp of Samaritan | General Acute Care Hospital | 2215 Burdett Ave, Troy, NY 12180-2466 | 2011-03-02 |
| 1013234723 | Burdett Care Center, Inc | General Acute Care Hospital | 2215 Burdett Ave, Suite 200, Troy, NY 12180-2466 | 2010-04-21 |
| 1518294958 | William Beaumont Hospital | General Acute Care Hospital | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2009-11-05 |
| 1184638942 | Upper Valley Medical Center | General Acute Care Hospital | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-07-28 |
| 1164436234 | Upper Valley Medical Center | General Acute Care Hospital | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-07-27 |
| Find all providers in TROY | ||||
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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.