HENRY FORD MACOMB HOSPITAL CORPORATION (NPI# 1578607594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578607594 |
| Entity Type | Organization |
| Organization Name | HENRY FORD MACOMB HOSPITAL CORPORATION |
| Other Organization Name | HENRY FORD MACOMB HOSPITAL - MT. CLEMENS CAMPUS |
| Practice Address |
215 North Ave Mount Clemens MI 48043-1716 |
| Practice Telephone | 5864669300 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | STEPHEN J. HATHAWAY (VICE-PRESIDENT - CFO) |
| Authorized Official Telephone | 5862632705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MI | Allopathic & Osteopathic Physicians | |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Henry Ford Macomb Hospital - Mt. Clemens Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437532959 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 155 Cass Ave, Mount Clemens, MI 48043-2203 | 2015-07-01 |
| 1225171218 | Henry Ford Macomb Hospital Corporation | Counselor | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-15 |
| 1902842735 | Henry Ford Macomb Hospital Corporation | General Acute Care Hospital | 13355 East 10 Mile Rd, Warren, MI 48089-2048 | 2006-06-21 |
| 1912301094 | Henry Ford Macomb Hospital Corporation | Nurse Practitioner | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-17 |
| 1124421888 | Henry Ford Macomb Hospital Corporation | Physician Assistant | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-08 |
| 1790069714 | Henry Ford Macomb Hospital Corporation | Orthopaedic Surgery | 15520 19 Mile Rd, Suite 430, Clinton Township, MI 48038-6333 | 2011-10-10 |
| 1073844106 | Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-01-29 |
| 1205060076 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 80650 Van Dyke Rd, Bruce Twp, MI 48065-1333 | 2009-05-08 |
| 1568643195 | Henry Ford Macomb Hospital Corporation | Rehabilitation, Substance Use Disorder Unit | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2007-11-26 |
| 1194869107 | Henry Ford Macomb Hospital Corporation | Clinical Neuropsychologist | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-16 |
| Street Address |
215 NORTH AVE |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907635 | Select Specialty Hospital - Macomb County Inc | Long Term Care Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2005-07-22 |
| 1073097549 | Kathleen Elizabeth Rymill | Occupational Therapist | 215 North Ave, Mount Clemens, MI 48043-1716 | 2018-09-20 |
| 1790264075 | Cassandra Freeman Hadley | Nurse Practitioner | 215 North Ave, Mount Clemens, MI 48043-1716 | 2018-08-08 |
| 1982073706 | Andrew Loosvelt | Nurse Practitioner | 215 North Ave, Mount Clemens, MI 48043-1716 | 2015-09-22 |
| 1487045837 | Baljit Kaur Singh | Nurse Practitioner | 215 North Ave, Mount Clemens, MI 48043-1716 | 2015-02-06 |
| 1871854232 | A V De Leon Jr.,m.d.p.c. | Internal Medicine | 215 North Ave, Mount Clemens, MI 48043-1716 | 2012-06-01 |
| 1013286475 | Susheel K Vij | Pharmacist | 215 North Ave, Suite 200, Mount Clemens, MI 48043-1716 | 2011-12-14 |
| 1760718209 | Christine Marie Mulka | Nurse Practitioner | 215 North Ave, Mount Clemens, MI 48043-1716 | 2009-10-18 |
| 1194866483 | Margaret Samaan | Psychiatry & Neurology | 215 North Ave, Mount Clemens, MI 48043-1716 | 2007-02-09 |
| 1043357486 | Henry Ford Macomb Hospital Corporation | Psychiatric Hospital | 215 North Ave, Mount Clemens, MI 48043-1716 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336246966 | Julie Anne-marie Burnham | Psychiatry & Neurology | 1030 Harrington St, Mount Clemens, MI 48043-2967 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
Please comment or provide details below to improve the information on HENRY FORD MACOMB HOSPITAL 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.