DR. ARMITA GHODDOUSI (NPI# 1396050118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396050118 |
| Entity Type | Individual |
| Full Name | DR. ARMITA GHODDOUSI |
| Credential | DO |
| Practice Address |
2093 Health Dr Sw Wyoming MI 49519-9691 |
| Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
| Practice Telephone | 6162525775 |
| Practice Fax Number | 6162525785 |
| Mailing Telephone | 6162523243 |
| Mailing Fax Number | 6162520260 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5315045792 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
5315045792 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2093 HEALTH DR SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537011 | Thomas V Bilisko | Internal Medicine | 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519-9691 | 2005-06-09 |
| 1134509532 | Rehabilitation Therapy Associates | Clinic/Center | 2093 Health Dr Sw, Suite 201, Wyoming, MI 49519-9691 | 2015-06-02 |
| 1619374725 | Sharon Eileen Possehl | Nurse Practitioner | 2093 Health Dr Sw, Suite 202, Wyoming, MI 49519-9691 | 2014-12-04 |
| 1518243278 | Emily Suzanne Haligowski | Nurse Practitioner | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 | 2011-10-26 |
| 1851600803 | Cheryl Lynn Kruithof | Nurse Practitioner | 2093 Health Dr Sw, Suite 302, Wyoming, MI 49519-9691 | 2010-09-24 |
| 1851544555 | Victory Institute for Weight Management | Behavioral Analyst | 2093 Health Dr Sw, Suite 302, Wyoming, MI 49519-9691 | 2008-10-28 |
| 1982819611 | John Timothy Morris | Surgery | 2093 Health Dr Sw, Suite 300, Wyoming, MI 49519-9691 | 2007-05-14 |
| 1386791515 | Jeannie Wilcox | Physician Assistant | 2093 Health Dr Sw, #101, Wyoming, MI 49519-9691 | 2007-01-03 |
| 1477619997 | Bruce H Vermeer | Clinical Neuropsychologist | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 | 2006-12-29 |
| 1114094349 | Greater Grand Rapids Pulmonary and Critical Care Specialists PC | Internal Medicine | 2093 Health Dr Sw, #301, Wyoming, MI 49519-9691 | 2006-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588731087 | Gastroenterology Associates of Western Michigan Plc | Internal Medicine | 2093 Health Drive, Suite 201, Wyoming, MI 49519 | 2006-11-29 |
| 1992899389 | Thomas H Riley | Internal Medicine | Metro Health - University of Michigan Health, 2093 Health Drive Sw, Wyoming, MI 49519 | 2006-10-03 |
| 1841207248 | Gregory L Cammell | Internal Medicine | 4124 56th St Sw, Suite 2, Wyoming, MI 49418-9494 | 2006-08-01 |
| 1578856530 | Tammy Theresa Tran | Internal Medicine | 2093 Health Dr Sw Ste 302, Wyoming, MI 49519-9691 | 2011-05-25 |
| 1467758987 | Gregory L. Cammell, M.d.,plc | Internal Medicine | 4124 56th St Sw, Suite 2, Wyoming, MI 49418-9494 | 2011-01-31 |
| 1871793216 | Ryan Daniel Hamby | Internal Medicine | 2093 Health Drive Sw, Suite 302, Wyoming, MI 49519 | 2007-07-24 |
| 1972510378 | Allan G Coates | Internal Medicine | 2093 Health Drive Sw, Suite 201, Wyoming, MI 49519 | 2006-08-01 |
| 1285679589 | John D Serini | Internal Medicine | 2093 Health Dr Sw, Suite 101, Wyoming, MI 49519-9691 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785561 | Digestive Health Clinic | Internal Medicine | 2486 Nerredia St Ste A, Flint, MI 48532-4807 | 2018-10-11 |
| 1053808550 | Dr. Allison Wood, Do Mph, Pllc | Internal Medicine | 4136 Legacy Pkwy Ste 100, Lansing, MI 48911-4293 | 2018-04-19 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1043698988 | Krishna Chaitanya Meka | Internal Medicine | 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071 | 2015-05-12 |
| 1609260892 | Chia-yang Hsu | Internal Medicine | A. Alfred Taubman Health Care Center, 1500 East Medical Center Drive Room 3912, Ann Arbor, MI 48109 | 2015-03-25 |
| 1982015228 | Access Family Gastroenterology Pllc | Internal Medicine | G-1125 Linden Rd, Suite 500, Flint, MI 48532 | 2014-05-08 |
| 1740610401 | Gastrofit Pllc | Internal Medicine | 23500 Park St Ste 2b, Dearborn, MI 48124-2598 | 2013-11-17 |
| 1578908000 | Emily E Tommolino | Internal Medicine | 26850 Providence Pkwy Ste 510, Novi, MI 48374-1267 | 2013-05-10 |
| 1679917074 | Harold Joseph Tobes | Internal Medicine | 1205 Nakomis Trl, Lake Orion, MI 48362-1340 | 2013-04-29 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
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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.