WILLIAM BEAUMONT HOSPITAL (NPI# 1457566382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457566382 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Other Organization Name | BEAUMONT PROFESSIONAL SERVICES |
| Practice Address |
3601 W 13 Mile Rd Fsc Royal Oak MI 48073-6712 |
| Mailing Address |
26901 Beaumont Blvd Compliance Soutfield MI 48033-4716 |
| Practice Telephone | 2484232454 |
| Practice Fax Number | 2484232576 |
| Mailing Telephone | 9475221964 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | CAROLYN WILSON (EVP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9465223326 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BEAUMONT PROFESSIONAL SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1437600103 | William Beaumont Hospital | Pharmacy | 41965 Ecorse Rd Ste 100, Van Buren Twp, MI 48111-1164 | 2016-10-18 |
| 1881904365 | William Beaumont Hospital | Clinic/Center | 1026 Eleven Mile Road, Royal Oak, MI 48067-5401 | 2010-10-18 |
| 1093974016 | William Beaumont Hospital | Clinic/Center | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2008-06-05 |
| 1962413187 | William Beaumont Hospital | Clinic/Center | 15979 Hall Road, Suite 200, Macomb, MI 48044-5360 | 2006-08-11 |
| 1093744153 | William Beaumont Hospital | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2006-07-01 |
| 1699704700 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 28105 Woodward Ave, Berkley, MI 48072-0910 | 2006-07-01 |
| Street Address |
3601 W 13 MILE RD FSC |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313107 | Cheryl Hope Hack | Pediatrics | 30301 Woodward Ave, Suite Ll 165, Royal Oak, MI 48073-0979 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851505978 | Terry Marc Dickson | Pediatrics | 745 S Garfield Ave, Suite C, Traverse City, MI 49686-3479 | 2007-05-09 |
| 1023177268 | Robert Bulten | Pediatrics | 4340 Burlingame Ave Sw, Wyoming, MI 49509-3770 | 2006-12-06 |
| 1063449247 | Marsha Dawn Rappley | Pediatrics | A110 Clinical Ctr, 138 Service Rd, East Lansing, MI 48824-1313 | 2006-06-26 |
| 1073093290 | Rose Margret Thacker | Pediatrics | 32100 Telegraph Rd Ste 185, Bingham Farms, MI 48025-2453 | 2018-08-16 |
| 1073024469 | Alison Campos | Pediatrics | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2017-10-12 |
| 1114375292 | Nicole Patrice Hamp | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5718 | 2016-05-30 |
| 1487068383 | Robin Johnson Cook | Pediatrics | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2014-06-18 |
| 1134431968 | Meghan Ruth Behrmann | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2010-07-09 |
| 1336353473 | The Behavioral Medicine Clinic of Northwest Michigan, Plc | Pediatrics | 745 S Garfield Ave, Suite C, Traverse City, MI 49686-3479 | 2007-05-09 |
| 1568558229 | Mark Alan Sloane | Pediatrics | 700 Mall Dr, Suite C, Portage, MI 49024-1800 | 2006-10-04 |
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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.