DR. BLERTA LICI GAQI (NPI# 1588103865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588103865 |
| Entity Type | Individual |
| Full Name | DR. BLERTA LICI GAQI |
| Credential | DO |
| Practice Address |
5210 Highland Rd Ste 201 Waterford MI 48327-1970 |
| Practice Telephone | 2486742259 |
| Practice Fax Number | 2486743356 |
| Mailing Telephone | 2486742259 |
| Mailing Fax Number | 2486743356 |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101023213 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 N Perry St, Pontiac, MI 483422217 | 3135290583 |
| Street Address |
5210 HIGHLAND RD STE 201 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528487246 | Stephanie Coleman | Internal Medicine | 5210 Highland Rd Ste 201, Waterford, MI 48327-1970 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1417452996 | Kristin Randa | Family Medicine | 7010 N Tichigan Rd, Waterford, WI 53185-1760 | 2018-03-27 |
| 1588193221 | Kimberley Lynn Spencer-ion | Family Medicine | 2536 N Williams Lake Rd, Waterford, MI 48327-1054 | 2017-06-07 |
| 1760864508 | Sadeer Peter | Family Medicine | 279 Summit Dr Ste 107, Waterford, MI 48328-3364 | 2015-06-28 |
| 1720330392 | Gina Gora M D Pllc | Family Medicine | 3347 Wormer Dr, Waterford, MI 48329-2569 | 2012-10-08 |
| 1053647131 | Motown Residential Physician Pllc | Family Medicine | 852 Cedargate Ct, Waterford, MI 48328-2606 | 2009-10-26 |
| 1528290681 | Anne Bingham Pierson, M.d. | Family Medicine | 215 Parkway North, Sonalysts, Inc., Waterford, CT 06385 | 2009-08-21 |
| 1942467659 | Regional Health Services, Inc. | Family Medicine | 991 Route 19 N, Suite B, Waterford, PA 16441-9739 | 2008-05-20 |
| 1467579011 | Micalyn D Baney | Family Medicine | 218 E 3rd St, Waterford, PA 16441-9753 | 2007-03-26 |
| Find all providers in WATERFORD | ||||
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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.