ANN-SOPHIE VAN BACKLE (NPI# 1649809989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649809989 |
| Entity Type | Individual |
| Full Name | ANN-SOPHIE VAN BACKLE |
| Credential | DO |
| Practice Address |
2333 Biddle Ave Wyandotte MI 48192-4668 |
| Practice Telephone | 7342468004 |
| Mailing Telephone | 7342468004 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5151014663 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2333 BIDDLE AVE |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477246 | Samra Khurshid | Internal Medicine | 2333 Biddle Ave, Henry Ford Wyandotte, Wyandotte, MI 48192 | 2005-06-20 |
| 1700404043 | Madelyn Marie Stover | Registered Nurse | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-07-13 |
| 1114547429 | Elizabeth Ann Miller | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-17 |
| 1548889108 | Harini Vijay | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-14 |
| 1659990679 | Torrey Brooke Halbert | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-09 |
| 1306475561 | Mohammad Umar Khan | Podiatrist | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-08 |
| 1780213959 | Macklin Loveland | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-08 |
| 1346879244 | Zachary Ryan Mauro | Emergency Medicine | 2333 Biddle Ave, Medical Education Department, Wyandotte, MI 48192 | 2020-04-03 |
| 1194354993 | Jack Avedikian | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-03 |
| 1972132934 | Caleb Robert Alley | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
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| 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 |
|---|---|---|---|---|
| 1265481717 | David L Wolf | Obstetrics & Gynecology | 3333 Biddle Ave, Suite A, Wyandotte, MI 48192-6284 | 2006-05-10 |
| 1053388447 | Lilian M Diakow | Obstetrics & Gynecology | 1539 Ford Ave, Wyandotte, MI 48192 | 2006-03-03 |
| 1659990679 | Torrey Brooke Halbert | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-09 |
| 1225666423 | Miranda Roland | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-01 |
| 1346701745 | Zeinab Bazzi | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2019-03-28 |
| 1447710660 | Abby Sexton | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2019-03-22 |
| 1033678024 | Jaime Lyn Riley | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2019-03-18 |
| 1033613294 | Leah Michelle Kurth | Obstetrics & Gynecology | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-22 |
| 1538669197 | Joshua Mark Reynolds | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-02-20 |
| 1538669742 | Joshua Ryan Leichty | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2018-02-14 |
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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.