GWENDOLYN WASHINGTON M.D. PROFESSIONAL CORPORATION (NPI# 1457681074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457681074 |
| Entity Type | Organization |
| Organization Name | GWENDOLYN WASHINGTON M.D. PROFESSIONAL CORPORATION |
| Practice Address |
29255 Northwestern Hwy Ste 105 Southfield MI 48034-5740 |
| Practice Telephone | 2483508895 |
| Practice Fax Number | 2483508894 |
| Mailing Telephone | 2483508895 |
| Mailing Fax Number | 2483508894 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |
| Authorized Official Name | DR. GWENDOLYN WASHINGTON (PRESIDENT) |
| Authorized Official Telephone | 2483508895 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2103295 | 05 |
| Street Address |
29255 NORTHWESTERN HWY STE 105 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1174993174 | Elizer Garcia | General Practice | 23999 Northwestern Hwy Ste 114, Southfield, MI 48075 | 2015-10-02 |
| 1487998332 | Continental Wellness Inc | General Practice | 29610 Southfield Rd Ste 250, Southfield, MI 48076-2000 | 2012-11-15 |
| 1699025874 | Visiting Md, LLC | General Practice | 15700 Providence Dr, Suite 400, Southfield, MI 48075-3144 | 2012-09-14 |
| 1922304088 | First Care Center Inc | General Practice | 18610 W 8 Mile Rd, Southfield, MI 48075-4126 | 2011-02-07 |
| 1497856470 | Jose Castroramirez | General Practice | 29350 Southfield Ste 101, Southfield, MI 48076 | 2006-09-25 |
| 1346347523 | Home Physician Services PC | General Practice | 17520 W 12 Mile Rd Ste 109, Southfield, MI 48076-1907 | 2006-09-20 |
| 1396721510 | Allan Birk | General Practice | 27774 Franklin Rd, Southfield, MI 48034-2352 | 2005-12-20 |
| 1598234809 | Mms Care Pllc | General Practice | 24293 Telegraph Rd Ste 212, Southfield, MI 48033-7903 | 2018-11-15 |
| 1134660376 | Home Visiting Doctors Pllc | General Practice | 29508 Southfield Rd, Suite 200, Southfield, MI 48076-2022 | 2017-03-20 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on GWENDOLYN WASHINGTON M.D. PROFESSIONAL CORPORATION.
| 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.