BRUCE C WASHINGTON


Address: 18181 Oakwood Blvd, Suite 102, Dearborn, MI 48124-5032
Phone: 3139825533

BRUCE C WASHINGTON (NPI# 1407814858) 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) 1407814858
Entity Type Individual
Full Name BRUCE C WASHINGTON
Credential MD
Practice Address 18181 Oakwood Blvd
Suite 102
Dearborn
MI 48124-5032
Mailing Address 1420 Stephenson Hwy
Suite 400-credentialing
Troy
MI 48083-1189
Practice Telephone 3139825533
Practice Fax Number 3139825508
Mailing Telephone 2485815974
Mailing Fax Number 2485815640
Enumeration Date 2006-05-03
Last Update Date 2014-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 4301039685 MI Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
4301039685 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 104432256 05

Office Location

Street Address 18181 OAKWOOD BLVD
SUITE 102
City DEARBORN
State MI
Zip Code 48124-5032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013994425 Maria F Hayes Obstetrics & Gynecology 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 2005-12-28
1619402203 Ola Abol Hosn Nurse Practitioner 18181 Oakwood Blvd, Dearborn, MI 48124-5032 2017-04-20
1578014502 Vijayalakshmi Nagappan Md PC Internal Medicine 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 2016-10-14
1386192417 William Beaumont Hospital Durable Medical Equipment & Medical Supplies 18181 Oakwood Blvd, #104, Dearborn, MI 48124-5032 2016-09-19
1730530973 Ccma Beaumont Pllc Internal Medicine 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 2016-06-29
1023465010 Katherine Anne Repp Nurse Practitioner 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 2016-05-19
1851768717 Miada Saad Physician Assistant 18181 Oakwood Blvd, Dearborn, MI 48124-5032 2015-08-27
1174909592 Ian Lytle Md PC Plastic Surgery 18181 Oakwood Blvd, Suite 200, Dearborn, MI 48124-5032 2015-08-07
1134502040 Fawn Renee Watts Registered Nurse 18181 Oakwood Blvd, Suite 208, Dearborn, MI 48124-5032 2015-07-09
1467834598 Maryam Mohammad-pour Daryaee Audiologist 18181 Oakwood Blvd, Suite 402, Dearborn, MI 48124-5032 2015-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104222017 Mi Body Contour Surgery 17000 Executive Plaza Dr Suite #204, Dearborn, MI 48126 2014-11-05
1952651671 Mustafa Mohamad Shukr Surgery 7319 Oakman Blvd, Dearborn, MI 48126-1526 2012-09-11
1063640068 Abubaker Ahmed Ali Surgery 13051 Osborne St, Apt 608, Dearborn, MI 48126-4037 2009-06-29
1710177852 Hubert C Huebl Surgery 136 S Highland St, Dearborn, MI 48124-1444 2007-07-25
1730383225 Michael Edward Geoghegan Surgery 22202 Beech St, Dearborn, MI 48124-2704 2007-06-11
1528261088 Chadi H Faraj Surgery 7350 Horger St, Dearborn, MI 48126-1424 2007-06-11
1477754604 Midwest Wound Care Associates, PC Surgery 22550 Law St, Dearborn, MI 48124-1087 2007-05-28
1558407361 Fadi Baidoun Md PC Surgery 18181 Oakwood Blvd Ste 305, Dearborn, MI 48124-3960 2007-01-29
1982659504 Joon-nahm Ann Surgery 4132 Schaffer, Dearborn, MI 48126-3682 2006-05-23
1801860705 Daniel Bacal Surgery 18181 Oakwood Blvd Ste 311, Dearborn, MI 48124 2006-02-15
Find all providers in DEARBORN

Competitor

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City DEARBORN
Zip Code 48124

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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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