GREGORY M OLDFORD


Address: 2300 Haggerty Rd, Suite 2000, West Bloomfield, MI 48323-2184
Phone: 2486249900

GREGORY M OLDFORD (NPI# 1376508762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376508762
Entity Type Individual
Full Name GREGORY M OLDFORD
Credential MD
Practice Address 2300 Haggerty Rd
Suite 2000
West Bloomfield
MI 48323-2184
Mailing Address 20952 E 12 Mile Rd
Suite 200
St Clair Shores
MI 48081-3200
Practice Telephone 2486249900
Practice Fax Number 2488965450
Mailing Telephone 5867714820
Mailing Fax Number 5867716620
Enumeration Date 2006-04-19
Last Update Date 2018-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 4301051913 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI CIGNA 6906739004 01
MI PRIORITY HEALTH 126231 01
MI HEALTH PLUS 0991057 01
MI AETNA 4338197 01
MI HAP F31980 01
MI RAILROAD MEDICARE 340019049 01

Office Location

Street Address 2300 HAGGERTY RD
SUITE 2000
City WEST BLOOMFIELD
State MI
Zip Code 48323-2184

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033744164 Ann Timm Registered Nurse 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 2020-03-09
1356817688 Courtney Peper Nurse Practitioner 2300 Haggerty Rd, West Bloomfield, MI 48323 2018-10-14
1124521711 Justin Joshua Smith Physician Assistant 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 2018-03-09
1841682432 Team Rehabilitation Hg, LLC Physical Therapist 2300 Haggerty Rd, Suite 2020, West Bloomfield, MI 48323-2184 2015-02-19
1861819161 Michigan Interventional Pain Associates Pllc Pain Medicine 2300 Haggerty Rd, Suite 2100, West Bloomfield, MI 48323-2184 2014-03-25
1740619121 Lakes Psychiatric Center, Pllc Psychiatry & Neurology 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 2013-11-05
1760828198 Abaris Health Psychologist 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 2013-05-13
1629329933 Amy Noble Isenberg Dentist 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 2012-09-26
1902157498 Vhs Physicians of Michigan Internal Medicine 2300 Haggerty Rd, Suite 2120, West Bloomfield, MI 48323-2184 2012-09-25
1649545955 Dorene K Hardie-goo Nurse Practitioner 2300 Haggerty Rd, Suite 2010, West Bloomfield, MI 48323-2184 2012-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235503301 James K. Uhes Occupational Therapist 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 2015-11-30
1700253283 Max Elder Specialist/Technologist 2387 Scotch Pine St, West Bloomfield, MI 48323 2015-08-31
1952792400 Michael Cataldo Technician, Other 6626 Torybrooke Ct, West Bloomfield, MI 48323 2015-02-05
1982944666 Steven Nathan Rives Internal Medicine 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 2013-02-18
1275871832 Detroit Medical Center Sinai Grace Hospital General Acute Care Hospital 3495 Pine Estates Drive, West Bloomfield, MI 48323 2013-01-16
1295090793 Advance Health Care System, LLC Massage Therapist 4267 Foxpoint, West Bloomfield, MI 48323 2012-07-10
1841566700 Eduardo Rivera Pathology 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 2012-03-26
1952611782 Debra Mary Gregory PC LLC Social Worker 7130 Walnut Lake Road, West Bloomfield, MI 48323 2010-10-14
1033362793 Alvin Yousif Daboul Dentist 2332 Hiller Road, West Bloomfield, MI 48323 2008-10-28
1386846574 Jerald B Maltzman Radiology 4744 Wendrick Dr, W. Bloomfield, MI 48323 2007-06-01
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194807693 Michigan Institute of Urology PC Urology 6900 Orchard Lake Road, Suite 101, West Bloomfield, MI 48322-3424 2006-10-20
1215919048 James D Relle Urology 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 2005-11-17
1679913958 Johar Raza Syed Urology 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2013-07-01
1255483277 Jason M Hafron Urology 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 2007-01-18
1801978309 Michigan Institute of Urology PC Urology 2300 Haggerty Road, Suite 2000, West Bloomfield, MI 48323-2102 2006-10-20
1487619458 Mitchell B Hollander Urology 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 2006-04-20
1558326926 Jennifer L Sobol Urology 2300 Haggerty Rd, Suite 2000, West Bloomfield, MI 48323-2184 2006-04-19
1831171669 Brian D Seifman Urology 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 2005-11-17
1437158862 Stephen A Liroff Urology 6777 W Maple Rd, West Bloomfield, MI 48322-3013 2005-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477488 Munson Healthcare Charlevoix Hospital Urology 11695 Park Ave, Suite A, Charlevoix, MI 49720 2020-11-06
1396235610 Munson Medical Center Urology 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 2018-05-11
1770072498 Bellin Health Iron Mountain Inc Urology 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 2018-05-08
1205215621 Alexander David Tapper Urology 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 2015-05-19
1912324211 Boston Medical Group, P.C. Urology 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 2014-03-25
1548600984 Katie Marie Rosen Urology 19991 Hall Rd Ste 201, Macomb, MI 48044 2013-06-30
1609213636 Arya Khatiwoda Urology 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 2013-05-31
1003179730 Kalen Jacob Rimar Urology 130 Town Center Dr Ste 101, Troy, MI 48084 2012-06-18
1780955294 Harry Nicholas Kotsis Urology 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 2012-01-16
1750678264 Michael Kozminski Urology 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 2011-07-05
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Competitor

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City WEST BLOOMFIELD
Zip Code 48323

Improve Information

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Dataset Information

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.

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