DR. BENN GILMORE (NPI# 1649258427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649258427 |
| Entity Type | Individual |
| Full Name | DR. BENN GILMORE |
| Credential | MD |
| Practice Address |
39525 W 14 Mile Rd Ste 101 Novi MI 48377 |
| Practice Telephone | 2489266673 |
| Practice Fax Number | 2489266683 |
| Mailing Telephone | 2489266673 |
| Mailing Fax Number | 2489266683 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301029992 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2637970 | 05 |
| Street Address |
39525 W 14 MILE RD STE 101 |
| City | NOVI |
| State | MI |
| Zip Code | 48377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262740 | Leonard P Lacivita | Otolaryngology | 39525 W 14 Mile Rd, Ste 101, Novi, MI 48377-1632 | 2005-11-16 |
| 1083010755 | Henry Ford West Bloomfield Physicans | Family Medicine | 39525 W 14 Mile Rd, Suite 101, Novi, MI 48377-1632 | 2014-11-07 |
| 1932473063 | Henry Ford Health System | Clinic/Center | 39525 W 14 Mile Rd, Suite 200, Novi, MI 48377-1632 | 2012-03-07 |
| 1740451780 | Family Health and Medicine PC | Family Medicine | 39525 W 14 Mile Rd, Suite 203, Novi, MI 48377-1632 | 2008-03-18 |
| 1407972300 | Richard Frank Scavo | Dentist | 39525 W 14 Mile Rd, Suite 202, Novi, MI 48377-1632 | 2007-03-22 |
| 1114042363 | Louis E Hirschman | Dentist | 39525 W 14 Mile Rd, Suite 103, Novi, MI 48377-1632 | 2007-03-20 |
| 1669515482 | Advanced Endodontics PC | Dentist | 39525 W 14 Mile Rd, Suite 103, Novi, MI 48377-1632 | 2007-02-14 |
| 1477696201 | Bradley A Hirschman | Dentist | 39525 W 14 Mile Rd, Suite 103, Novi, MI 48377-1632 | 2007-02-14 |
| 1538226337 | Drs Gilmore Lacivita & Associates PC | Otolaryngology | 39525 W 14 Mile Rd, Ste 101, Novi, MI 48377 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262740 | Leonard P Lacivita | Otolaryngology | 39525 W 14 Mile Rd, Ste 101, Novi, MI 48377-1632 | 2005-11-16 |
| 1568968956 | Eric Lee Cox | Otolaryngology | 25500 Meadowbrook Rd Ste 220, Novi, MI 48375-1882 | 2018-04-04 |
| 1538226337 | Drs Gilmore Lacivita & Associates PC | Otolaryngology | 39525 W 14 Mile Rd, Ste 101, Novi, MI 48377 | 2007-01-02 |
| 1487631180 | Mark Hnatiuk | Otolaryngology | 26850 Providence Parkway, Suite 205, Novi, MI 48374-1252 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
| Find all providers with the same taxonomy | ||||
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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.