GURUDARSHAN S KHALSA (NPI# 1356409973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356409973 |
| Entity Type | Individual |
| Full Name | GURUDARSHAN S KHALSA |
| Credential | M.D. |
| Practice Address |
484 Academy St Ferndale MI 48220-2821 |
| Practice Telephone | 2485414834 |
| Mailing Telephone | 2485414834 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301038112 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AK7576486 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285835819 | Gurudarshan Kaur Khalsa | Acupuncturist | 2976 Pebble Beach Dr, Flagstaff, AZ 86004-7420 | 2007-05-30 |
| 1164989844 | Gurudarshan Khalsa | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-28 |
| 1104157726 | Gurudarshan K Khalsa | Marriage & Family Therapist | 1701 Camino Palmero St, Los Angeles, CA 90046-2902 | 2010-01-21 |
| Street Address |
484 ACADEMY ST |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114805 | Phyllis Adolphus Nelson | Family Medicine | 362 E Troy St Uppr, Ferndale, MI 48220-2851 | 2019-09-29 |
| 1962704239 | Jacklyn Price | Family Medicine | 725 E 9 Mile Rd, Ferndale, MI 48220-1965 | 2010-11-18 |
| 1942440052 | Samuel G Browning | Family Medicine | 5616 3rd Ave., Ferndale, WA 98248 | 2009-03-02 |
| 1265553143 | Humboldt Medical Group, Inc | Family Medicine | 528 Washington Street, Ferndale, CA 95536 | 2007-04-02 |
| 1457417420 | Thomas J Chwierut | Family Medicine | 641 W 9 Mile Rd Ste B, Ferndale, MI 48220-1779 | 2006-12-27 |
| 1225071830 | Bertha H Safford | Family Medicine | 5580 Nordic Way, Ferndale, WA 98248 | 2006-06-13 |
| 1104815232 | Robert C Levine | Family Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2005-10-20 |
| 1952396103 | Tamara Smith Dennis | Family Medicine | 638 Main Street, Ferndale, CA 95536-1157 | 2005-09-14 |
| 1457761322 | Walter Kalani Snyder | Family Medicine | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2014-05-01 |
| 1710241856 | Anna Marie Farhat | Family Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2012-07-03 |
| Find all providers in FERNDALE | ||||
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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.