BENJAMIN DONNER WILLEN (NPI# 1437643905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437643905 |
Entity Type | Individual |
Full Name | BENJAMIN DONNER WILLEN |
Credential | MD |
Practice Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
Practice Telephone | 2488985000 |
Mailing Telephone | 2488985000 |
Enumeration Date | 2018-06-19 |
Last Update Date | 2019-05-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 4301115491 | MI | Allopathic & Osteopathic Physicians |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4351032337 | MI | Allopathic & Osteopathic Physicians |
Street Address |
3601 W 13 MILE RD |
City | ROYAL OAK |
State | MI |
Zip Code | 48073-6712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013532449 | Derek Alexander Mumaw | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-06-11 |
1366064958 | Bailey Alexander Loving | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-05-18 |
1811518319 | Joseph S Lee | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-05-06 |
1689234650 | Suqrat Munawar | Radiology | 3601 W 13 Mile Rd, Department of Radiation Oncology, Royal Oak, MI 48073 | 2019-06-20 |
1699333252 | Kamran Salari | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-05-30 |
1093370413 | Allison Jean Hazy | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-05-01 |
1033603592 | Vincent Grzywacz II | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2018-06-19 |
1659781433 | Hong-yiou Lin | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2014-05-02 |
1700149713 | Richard Val Hymas | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2012-06-25 |
1669735825 | Kuei C Lee | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2012-06-21 |
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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.