THE WELLNESS PLAN MEDICAL CENTERS (NPI# 1558614289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558614289 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Other Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Practice Address |
21040 Greenfield Rd Oak Park MI 48237-3025 |
| Mailing Address |
7700 2nd Ave Detroit MI 48202-2477 |
| Practice Telephone | 2489676500 |
| Practice Fax Number | 2489676528 |
| Mailing Telephone | 3132028660 |
| Mailing Fax Number | 3132028653 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | ANTHONY V KING (CEO AND EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3132028550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301086416 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Wellness Plan | Doing Business As Name - Organization |
| The Wellness Plan Medical Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420353 | The Wellness Plan Medical Centers | Clinic/Center | 27321 Hampden St Rm 202, Madison Heights, MI 48071-3113 | 2018-03-14 |
| 1386684033 | The Wellness Plan Medical Centers | Pharmacy | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-06-08 |
| 1235651381 | The Wellness Plan Medical Centers | Family Medicine | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2017-07-11 |
| 1427416783 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-02-02 |
| 1447675434 | The Wellness Plan Medical Centers | Clinic/Center | 44405 Woodward Ave, Suite H-13, Pontiac, MI 48341-5023 | 2014-02-27 |
| 1801148911 | The Wellness Plan Medical Centers | Dentist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2012-10-12 |
| 1669632816 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2008-06-11 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1043373244 | The Wellness Plan Medical Centers | Clinic/Center | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-12-18 |
| 1649229287 | The Wellness Plan Medical Centers | Internal Medicine | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-05-10 |
| Street Address |
21040 GREENFIELD RD |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891899852 | The Wellness Plan | Pharmacy | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-09-12 |
| 1457851511 | Cheryl Lynn Sanders | Pharmacist | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2018-02-15 |
| 1871048470 | Konwre Gordon | Nurse Practitioner | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2016-08-24 |
| 1083908081 | Betts Medical Group LLC | Internal Medicine | 21040 Greenfield Rd, Ste 200, Oak Park, MI 48237-3025 | 2011-06-07 |
| 1457511040 | Jenny Phu Shih | Family Medicine | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-17 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1023108792 | Patricia Abinoja | Pediatrics | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| 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 |
|---|---|---|---|---|
| 1588058796 | Michael R. Roche | Obstetrics & Gynecology | 610 S Maple Ave Ste 3600, Oak Park, IL 60304-2805 | 2015-03-25 |
| 1235441858 | Abraham S Madany | Obstetrics & Gynecology | 24611 Coolidge Hwy, Oak Park, MI 48237-1449 | 2010-07-12 |
| 1447395108 | Monique Brotman | Obstetrics & Gynecology | 1 Erie Ct Suite 7020, Oak Park, IL 60302 | 2007-02-20 |
| 1003924127 | Lyndon D Taylor | Obstetrics & Gynecology | 1515 N Harlem Ave Ste 308, Oak Park, IL 60302-1205 | 2006-08-28 |
| 1740295161 | Kenneth Leon Bray | Obstetrics & Gynecology | 1 Erie Ct Ste 6040, Oak Park, IL 60302-2510 | 2006-07-31 |
| 1497744932 | William Luke Jordan | Obstetrics & Gynecology | 12900 W.9 Mile Road, Oak Park, MI 48237 | 2005-10-18 |
| 1194106872 | James Stewart Nitti | Obstetrics & Gynecology | 932 Lake St Ste 300, Oak Park, IL 60301 | 2015-06-17 |
| 1396151130 | Monique Brotman, D.o. LLC | Obstetrics & Gynecology | 1010 Lake St, Suite 507, Oak Park, IL 60301-1147 | 2014-07-01 |
| 1952611816 | Partners In Women's Health 2 LLC | Obstetrics & Gynecology | 610 S Maple Ave, Suite 3600, Oak Park, IL 60304-1091 | 2010-10-13 |
| 1316256472 | Theodore K Graham Md PC | Obstetrics & Gynecology | 12900 W 9 Mile Rd, Oak Park, MI 48237-2990 | 2010-10-06 |
| Find all providers in OAK PARK | ||||
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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.