DR. PHILIP ALAIN GILLY (NPI# 1609849868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609849868 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ALAIN GILLY |
| Credential | MD |
| Practice Address |
6773 W Maple Rd Henry Ford Maplegrove Center West Bloomfield MI 48322-3013 |
| Practice Telephone | 2486616100 |
| Mailing Telephone | 2486616100 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 180754 | NY | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
4301098753 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01166201 | 05 |
| Street Address |
6773 W MAPLE RD HENRY FORD MAPLEGROVE CENTER |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040262 | Blake Angove | Social Worker | 6773 W Maple Rd, Maplegrove Center, West Bloomfield, MI 48322-3013 | 2005-08-11 |
| 1679135123 | Justina A Nzums | Nurse Practitioner | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-07-05 |
| 1154806362 | Toni Broden | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-10-03 |
| 1033541636 | Lisa Weingarden Kaplan | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-08-06 |
| 1689979817 | Betty Jean Weymouth-conger | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2011-01-19 |
| 1568788164 | Christine Victoria Reeves | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2010-04-08 |
| 1922331305 | Daniel Sanborn | Nurse Anesthetist, Certified Registered | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2009-09-16 |
| 1952510182 | Henry Ford Health System Maplegrove Center | Clinic/Center | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2007-05-22 |
| 1134225758 | Elizabeth Bradford | Social Worker | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2006-09-15 |
| 1295767630 | Henry Ford Maplegrove Center | Substance Abuse Rehabilitation Facility | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836444 | White Lake Urgent Care | Family Medicine | 9178 Highland Rd Ste 1a, White Lake, MI 48386-4619 | 2019-08-18 |
| 1669665154 | Daniel A. Schwarz | Family Medicine | 18444 W 10 Mile Rd, Suite 102, Southfield, MI 48075-2653 | 2007-08-20 |
| 1134335359 | Jerry Avrum Appel | Family Medicine | 1720 South Hill Blvd, Bloomfield Township, MI 48304-1135 | 2007-05-15 |
| 1417099417 | Bio-med Behavioral Healthcare, Inc. | Family Medicine | 31581 Gratiot Ave, Roseville, MI 48066-4528 | 2007-02-13 |
| 1457469330 | Eric N. Coffman | Family Medicine | 27550 Joy Rd, Livonia, MI 48150-4145 | 2006-08-29 |
| 1598703621 | Carl Woodrow Christensen | Family Medicine | 4870 W Clark Rd Ste 201, Ypsilanti, MI 48197-1104 | 2006-06-02 |
| 1265498059 | Mark Allen Menestrina | Family Medicine | 12851 E Grand River, Brighton Hospital, Brighton, MI 48116-8596 | 2006-04-21 |
| 1790745966 | Douglas Lawrence Marsh | Family Medicine | 18590 Allen Rd, Melvindale, MI 48122-1516 | 2006-03-23 |
| 1952377566 | Bruce Henry Baker | Family Medicine | 3210 Eagle Run Dr, Suite 200, Grand Rapids, MI 49525 | 2006-02-23 |
| 1689275026 | Lindsey Ruth Mitchell | Family Medicine | 28477 Hoover Rd, Warren, MI 48093-5400 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
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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.