DONALD R BLITZ (NPI# 1346306651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346306651 |
| Entity Type | Individual |
| Full Name | DONALD R BLITZ |
| Credential | MD |
| Practice Address |
25865 W 12 Mile Rd Suite A101 Southfield MI 48034-1817 |
| Practice Telephone | 2489481990 |
| Practice Fax Number | 2489489158 |
| Mailing Telephone | 2489481990 |
| Mailing Fax Number | 2489489158 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301033807 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
25865 W 12 MILE RD SUITE A101 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356371983 | Michigan Therapeutic Solutions Inc | Clinic/Center | 25865 W 12 Mile Rd, Suite 116, Southfield, MI 48034 | 2006-07-03 |
| 1700269735 | Gantz Dds Pllc | Dentist | 25865 W 12 Mile Rd, Southfield, MI 48034-1817 | 2015-07-08 |
| 1235568619 | Hayek, LLC | Clinic/Center | 25865 W 12 Mile Rd, Suite # 116, Southfield, MI 48034-1817 | 2013-11-05 |
| 1073954343 | Julie A Hayek | Naturopath | 25865 W 12 Mile Rd, Suite D-116, Southfield, MI 48034-1817 | 2013-07-15 |
| 1366718330 | Mi Sports Rehab P.c | Physical Therapist | 25865 W 12 Mile Rd, Suite 104, Southfield, MI 48034-1817 | 2012-03-23 |
| 1043596729 | Janice Kay | Speech-Language Pathologist | 25865 W 12 Mile Rd, Ste. 104, Southfield, MI 48034-1817 | 2011-10-26 |
| 1649555905 | Diane Gross Willens | Speech-Language Pathologist | 25865 W 12 Mile Rd, Southfield, MI 48034-1817 | 2011-10-19 |
| 1376827204 | Shelley Ann Handren | Speech-Language Pathologist | 25865 W 12 Mile Rd, 104, Southfield, MI 48034-1817 | 2011-10-11 |
| 1073837423 | Physio Dynamics LLC | Specialist | 25865 W 12 Mile Rd, Southfield, MI 48034-1817 | 2010-03-15 |
| 1790013878 | Pavithra Raja | Physical Therapist | 25865 W 12 Mile Rd, Suite 116, Southfield, MI 48034-1817 | 2009-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770021354 | Southfield Obsterical and Gynecologic Institute P.C. | Obstetrics & Gynecology | 29275 Northwestern Hwy Ste 207, Southfield, MI 48034-5744 | 2017-02-03 |
| 1093982241 | Judith Brysk Md Pllc | Obstetrics & Gynecology | 25865 W. 12 Mile Rd., Suite A101, Southfield, MI 48034 | 2008-05-15 |
| 1225075930 | Delores Faye Baker | Obstetrics & Gynecology | University Women's Care-southfield, 26400 W 12 Mile Rd Ste 140, Southfield, MI 48034 | 2006-06-01 |
| 1144283532 | David Stone | Obstetrics & Gynecology | 27209 Lahser, #220, Southfield, MI 48034 | 2006-04-08 |
| 1821264227 | Vinaykmalviya Md PC | Obstetrics & Gynecology | 22301 Foster Winter Dr, 3rd Floor, Southfield, MI 48075-3707 | 2008-05-06 |
| 1528261336 | Patrice L. Harold, M.d.,plc | Obstetrics & Gynecology | 29255 Northwestern Hwy Ste 301, Southfield, MI 48034-5742 | 2007-06-08 |
| 1437198314 | George H Shade | Obstetrics & Gynecology | University Women's Care-southfield, 26400 W 12 Mile Rd Ste 140, Southfield, MI 48034 | 2006-06-06 |
| 1710924238 | Jay M Berman | Obstetrics & Gynecology | 26400 W 12 Mile Rd, Suite 140, Southfield, MI 48034-1753 | 2006-06-01 |
| 1952365405 | Lisa Cardwell | Obstetrics & Gynecology | 27209 Lahser, #220, Southfield, MI 48034 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532330 | Rula Al-aouar Plc | Obstetrics & Gynecology | 2380 W Warren Street, Dearborn Heights, MI 48127-2276 | 2020-09-14 |
| 1306497466 | Iha Health Services Corporation | Obstetrics & Gynecology | 1065 N Huron River Dr Ste 400, Ypsilanti, MI 48197-3296 | 2019-09-20 |
| 1013335504 | Evelyn Hall | Obstetrics & Gynecology | 504 Catherine St, Ann Arbor, MI 48104-1433 | 2014-04-01 |
| 1740616804 | Mohammad Amin Ariani | Obstetrics & Gynecology | 65 Belle Meade St, Grosse Pointe Shores, MI 48236-1552 | 2013-09-20 |
| 1548564164 | Joseph Lee Decook | Obstetrics & Gynecology | 2238 Tony Ave, Fennville, MI 49408-9463 | 2010-12-23 |
| 1992005821 | Diana L. Cohen, D.o., P.C. | Obstetrics & Gynecology | 1240 S Lapeer Rd, Suite 101b, Lake Orion, MI 48360-1470 | 2010-10-26 |
| 1386961498 | Zeenat Anwar | Obstetrics & Gynecology | 3820 Gratiot Ave, Port Huron, MI 48060-1536 | 2010-04-28 |
| 1063658755 | Joseph Kroon | Obstetrics & Gynecology | 656 Wellington Cres, Mount Clemens, MI 48043-2949 | 2008-12-30 |
| 1386805158 | Francis Darling | Obstetrics & Gynecology | 9062 Lake Dominion Dr, Brighton, MI 48114-9104 | 2008-06-24 |
| 1649447004 | Kenneth J Vanderkolk | Obstetrics & Gynecology | 3839 Cook Valley Blvd Se, Grand Rapids, MI 49546-8333 | 2008-05-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.