SOUTHFIELD LATHRUP OBSTETRICS AND GYNECOLOGY PC (NPI# 1619025392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619025392 |
| Entity Type | Organization |
| Organization Name | SOUTHFIELD LATHRUP OBSTETRICS AND GYNECOLOGY PC |
| Practice Address |
20276 Middlebelt Road Suite 2 Livonia MI 48152 |
| Mailing Address |
20276 Middlebelt Rd Suite 2 Livonia MI 48152-2054 |
| Practice Telephone | 2484764900 |
| Practice Fax Number | 2484765435 |
| Mailing Telephone | 2484764900 |
| Mailing Fax Number | 2484765435 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | DR. RONALD ZACK (PRESIDENT) |
| Authorized Official Telephone | 2484764900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0F37177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033268263 | Southfield Lathrup Obstetrics and Gynecology PC | Obstetrics & Gynecology | 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | 2007-01-09 |
| Street Address |
20276 MIDDLEBELT ROAD SUITE 2 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1679928717 | Haddad Medical PC | Obstetrics & Gynecology | 37497 Bristol Ct, Livonia, MI 48154-1260 | 2016-04-26 |
| 1861877730 | Aldo Rafael Nunez Hruska | Obstetrics & Gynecology | 20276 Middlebelt Rd Ste 2, Livonia, MI 48152 | 2015-07-21 |
| 1982901682 | Gene A Saunders | Obstetrics & Gynecology | 32930 Brier Ct, Livonia, MI 48152-3210 | 2011-02-16 |
| 1699004226 | Advanced Ob-gyn of Michigan | Obstetrics & Gynecology | 18400 Farmington Rd, Livonia, MI 48152-3588 | 2009-12-10 |
| 1104950021 | Womancare of Livonia, P.C. | Obstetrics & Gynecology | 27634 5 Mile Rd, Livonia, MI 48154-3946 | 2007-03-15 |
| 1528078052 | M Hassan Neal | Obstetrics & Gynecology | 10533 Farmington Rd, Livonia, MI 48150-5734 | 2006-08-08 |
| 1629082870 | William G Anderson II | Obstetrics & Gynecology | 20216 Farmington Rd, Livonia, MI 48152-1412 | 2006-07-27 |
| 1811939762 | Adam S Cooper | Obstetrics & Gynecology | 28711 8 Mile Rd Ste C, Livonia, MI 48152-2041 | 2006-06-12 |
| 1376585703 | Botsford General Hosptial | Obstetrics & Gynecology | 28711 8 Mile Rd, Suite E, Livonia, MI 48152-2040 | 2006-06-11 |
| 1689645137 | Robert L Dock | Obstetrics & Gynecology | 20276 Middlebelt Rd, Suite 2, Livonia, MI 48152-2054 | 2006-01-31 |
| Find all providers in LIVONIA | ||||
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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.