DR. GHASSAN BACHUWA (NPI# 1437124062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437124062 |
| Entity Type | Individual |
| Full Name | DR. GHASSAN BACHUWA |
| Credential | MD |
| Practice Address |
1125 S Linden Rd Suite 700 Flint MI 48532-4073 |
| Mailing Address |
1 Hurley Plz Son, 5th Floor Flint MI 48503-5902 |
| Practice Telephone | 8107332011 |
| Practice Fax Number | 8107331872 |
| Mailing Telephone | 8102629353 |
| Mailing Fax Number | 8107600440 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
047802 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP | OM 32030 | 01 | |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN GROUP PIN | 700B510700 | 01 |
| Street Address |
1125 S LINDEN RD SUITE 700 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639813 | Amitabha Banerjee | Pediatrics | 1125 S Linden Rd, Suite 500, Flint, MI 48532-4073 | 2005-09-12 |
| 1497146054 | Alexander John Ferda | Registered Nurse | 1125 S Linden Rd, Suite 210, Flint, MI 48532-4073 | 2015-02-17 |
| 1427479369 | Alzheimer's Disease and Association, Inc | Community/Behavioral Health | 1125 S Linden Rd, Flint, MI 48532-4073 | 2013-12-19 |
| 1659623239 | Alzheimers Disease and Related Disorders Association Incorporated | Case Management | 1125 S Linden Rd, Suite 950, Flint, MI 48532-4073 | 2012-10-08 |
| 1235420027 | Shandelle Lynn Kyrolainen | Social Worker | 1125 S Linden Rd, Suite 700, Flint, MI 48532-4073 | 2011-04-27 |
| 1114168978 | John Michael Sushynski | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2009-03-09 |
| 1437323904 | Mid-michigan Pediatric Dentistry | Dentist | 1125 S Linden Rd, Suite 800, Flint, MI 48532-4073 | 2008-04-16 |
| 1720204175 | Sherry D Hodge | Counselor | 1125 S Linden Rd, Suite 950, Flint, MI 48532-4073 | 2007-04-17 |
| 1528008885 | James M Neubeck | Obstetrics & Gynecology | 1125 S Linden Rd, Suite 900, Flint, MI 48532-4073 | 2006-06-07 |
| 1811965486 | Clark Ernest Jones | Family Medicine | 1125 S Linden Rd, Ste 900, Flint, MI 48532-4073 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1881043065 | Hurley Medical Center | Internal Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2016-06-08 |
| 1508288994 | Ronda Mcguire | Internal Medicine | 1409 S Graham Rd, Flint, MI 48532-3538 | 2014-01-20 |
| 1437492055 | Lake Mi Mobile Doctors PC | Internal Medicine | 2335 S Linden Rd, Suite B, Flint, MI 48532-5497 | 2013-04-02 |
| 1376776799 | Abdullah Raffee Md. PC | Internal Medicine | 5051 Villa Linde Pkwy, Ste 23, Flint, MI 48532-3449 | 2009-09-02 |
| 1184766958 | Purushottam Naik, M.d, P.C. | Internal Medicine | 2425 Austins Pkwy, Suite 1, Flint, MI 48507-1344 | 2007-02-12 |
| 1912002999 | Randolph E. Schumacher | Internal Medicine | 2700 Robert T Longway Blvd, Suite A, Flint, MI 48503-2190 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371315 | Matrix Medical Pllc | Internal Medicine | 52611 Blueridge Dr, Shelby Twp, MI 48316-2977 | 2018-10-01 |
| 1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
| 1992252191 | Vitality Home Health Services,inc. | Internal Medicine | 917 W Milham Ave, Portage, MI 49024-1248 | 2016-09-06 |
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1710226477 | Nancy Couch | Internal Medicine | 791 Bradburn Ct, Northville, MI 48167-1027 | 2013-01-31 |
| 1639425879 | Anhkiet L Tran | Internal Medicine | 29736 Orion Ct, Farmington Hills, MI 48334-4114 | 2012-07-25 |
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1699055269 | Mobilized Docs of Michigan LLC | Internal Medicine | 23943 Industrial Park Dr, Farmington Hills, MI 48335-2862 | 2011-08-26 |
| 1780986018 | Spectrum Health Primary Care Partners | Internal Medicine | 727 Apple Ave, Holland, MI 49423-5405 | 2010-11-18 |
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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.