WYANDOTTE MEDICAL PRACTICE (NPI# 1518261957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518261957 |
| Entity Type | Organization |
| Organization Name | WYANDOTTE MEDICAL PRACTICE |
| Other Organization Name | NORTHLINE WOMANS HEALTH |
| Practice Address |
15675 Northline Rd Southgate MI 48195-2334 |
| Practice Telephone | 7342823600 |
| Practice Fax Number | 7342823603 |
| Mailing Telephone | 7342823600 |
| Mailing Fax Number | 7342823603 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2011-09-30 |
| Authorized Official Name | JACOB BUDD (ADMINISTRATOR OUTPATIENT SERVICES) |
| Authorized Official Telephone | 7342468803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northline Womans Health | Doing Business As Name - Organization |
| Street Address |
15675 NORTHLINE RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592582 | Munther K Alaiwat | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2005-10-17 |
| 1740555002 | Mallory Christine Nagarah | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2012-03-19 |
| 1861688780 | Munther Alaiwat, M.d., P.C. | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2007-09-25 |
| 1992903116 | Christa Norlander | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2007-07-10 |
| 1679629604 | Jeanne Marie Gray | Nurse Practitioner | 15675 Northline Rd, Southgate, MI 48195-2334 | 2007-01-25 |
| 1245218528 | Mary Catherine Delucia | Nurse Practitioner | 15675 Northline Rd, Southgate, MI 48195-2334 | 2006-01-06 |
| 1710962675 | Sandra G Jensen | Nurse Practitioner | 15675 Northline Rd, Southgate, MI 48195-2334 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144299165 | Pochana Hoprasart Md PC | Obstetrics & Gynecology | 15356 Trenton Rd, Southgate, MI 48195 | 2006-03-14 |
| 1760454375 | Grace Ann Engler | Obstetrics & Gynecology | 15265 Northline Rd, Southgate, MI 48195 | 2006-02-07 |
| 1891766143 | Geetha Kartha | Obstetrics & Gynecology | 15265 Northline Road, Southgate, MI 48195 | 2006-01-26 |
| 1598746067 | Obgyn Healthcare PC | Obstetrics & Gynecology | 15185 Allen Rd, Southgate, MI 48195 | 2005-11-10 |
| 1740555002 | Mallory Christine Nagarah | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2012-03-19 |
| 1861688780 | Munther Alaiwat, M.d., P.C. | Obstetrics & Gynecology | 15675 Northline Rd, Southgate, MI 48195-2334 | 2007-09-25 |
| 1013039684 | Engler and Kartha Md Pllc | Obstetrics & Gynecology | 15265 Northline Rd, Southgate, MI 48195 | 2007-04-04 |
| 1528191764 | Womancare of Downriver, P.C. | Obstetrics & Gynecology | 14523 Northline Rd, Southgate, MI 48195-2446 | 2007-03-14 |
| 1801876727 | Darko Habekovic | Obstetrics & Gynecology | 15777 Northline Rd, Southgate, MI 48195-2385 | 2006-01-18 |
| 1831179753 | Bohdan Zenon Danysh | Obstetrics & Gynecology | 15777 Northline Rd, Ste 201, Southgate, MI 48195-2385 | 2006-01-18 |
| Find all providers in SOUTHGATE | ||||
Please comment or provide details below to improve the information on WYANDOTTE MEDICAL PRACTICE.
| 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.