DR. GARY GAZELLA (NPI# 1609875392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609875392 |
| Entity Type | Individual |
| Full Name | DR. GARY GAZELLA |
| Credential | MD |
| Practice Address |
8555 N Silvery Ln Suite C302 Dearborn Heights MI 48127-1379 |
| Practice Telephone | 3135610550 |
| Practice Fax Number | 3135613646 |
| Mailing Telephone | 3135610550 |
| Mailing Fax Number | 3135613646 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | GG034127 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CARE CHOICES | 125090 | 01 |
| MI | 4492586 | 05 | |
| MI | HAP | A77142 | 01 |
| MI | AETNA | 5395145 | 01 |
| Street Address |
8555 N SILVERY LN SUITE C302 |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209671 | Brian Frol | Family Medicine | 8555 N Silvery Ln, Suite C302, Dearborn Heights, MI 48127-1379 | 2005-07-15 |
| 1942696984 | Summit Visiting Physicians Group, PC | Internal Medicine | 8555 N Silvery Ln, Suite 402, Dearborn Heights, MI 48127-1379 | 2015-04-07 |
| 1972541332 | Kim Yu Md PC | Family Medicine | 8555 N Silvery Ln, Suite 402, Dearborn Heights, MI 48127-1379 | 2006-06-04 |
| 1205835931 | Arbor Lane Family Physicians Plc | Family Medicine | 8555 N Silvery Ln, Suite C302, Dearborn Heights, MI 48127-1379 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| 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 |
|---|---|---|---|---|
| 1083274542 | Soha Ibrahim | Family Medicine | 27117 Simone St, Dearborn Heights, MI 48127-3339 | 2019-06-17 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1659519981 | Visiting Doctors for America PC | Family Medicine | 6000 N Waverly St, Dearborn Heights, MI 48127-3227 | 2009-01-23 |
| 1568636629 | Tarek Salim Hadla | Family Medicine | 23902 Ford Rd, Suite A, Dearborn Heights, MI 48127-3246 | 2008-04-18 |
| 1386856375 | Amerigard Development Corporation | Family Medicine | 23850 Van Born Road, Dearborn Heights, MI 48125 | 2007-05-04 |
| 1558445015 | David L. Cooley D.o. P.C. | Family Medicine | 3902 Monroe St, Dearborn Heights, MI 48125-2545 | 2006-10-24 |
| 1336186683 | Deborah A Kay | Family Medicine | 24748 W Warren St, Dearborn Heights, MI 48127-2109 | 2006-06-02 |
| 1306890405 | Ali M Khan | Family Medicine | 20300 Van Born Rd, Dearborn Heights, MI 48125-3053 | 2006-05-22 |
| 1528025871 | David L Cooley | Family Medicine | 3902 Monroe, Dearborn Heights, MI 48125 | 2006-04-28 |
| 1184604316 | F Robert Suchyta | Family Medicine | 27015 W Warren St, Dearborn Heights, MI 48127-1901 | 2006-01-23 |
| Find all providers in DEARBORN HEIGHTS | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
Please comment or provide details below to improve the information on DR. GARY GAZELLA.
| 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.