DR. KELLY NICOLE SAWYER (NPI# 1700038726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700038726 |
| Entity Type | Individual |
| Full Name | DR. KELLY NICOLE SAWYER |
| Credential | MD |
| Practice Address |
3601 W 13 Mile Rd Beaumont Hospital - Royal Oak Royal Oak MI 48073-6712 |
| Mailing Address |
130 Town Center Dr Ste 203 Beamont Medical Staff Affairs Troy MI 48084-1744 |
| Practice Telephone | 2488980575 |
| Practice Fax Number | 2488984671 |
| Mailing Telephone | 2485858218 |
| Mailing Fax Number | 2485858266 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301098072 | MI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 0101245791 | VA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MT189026 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295750206 | Kelly Koli Sawyer | Dentist | 3013 Green Meadow, San Angelo, TX 76904-6435 | 2006-07-12 |
| 1609398361 | Kelly Lynn Sawyer | Social Worker | 1777 Axtell Dr Ste 101, Troy, MI 48084-4400 | 2017-07-13 |
| Street Address |
3601 W 13 MILE RD BEAUMONT HOSPITAL - ROYAL OAK |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
| 1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
| 1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
| 1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
| 1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
| 1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
| 1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
| 1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1952833196 | Royal Urgent Care, Pllc | Emergency Medicine | 4080 Crooks Rd, Royal Oak, MI 48073-6594 | 2017-03-28 |
| 1093133209 | Lauren Marie Cameron Comasco | Emergency Medicine | 3601 W 13 Mile Rd Dept Of, Royal Oak, MI 48073-6712 | 2014-04-03 |
| 1306286919 | Alexander Richard Brown | Emergency Medicine | 2440 Parmenter Blvd, Apt 202, Royal Oak, MI 48073-1359 | 2013-06-27 |
| 1043569361 | Yamen Nackoud | Emergency Medicine | 715 Butternut Ave, Royal Oak, MI 48073-3203 | 2012-08-31 |
| 1528327251 | Robert Alexander Rhea | Emergency Medicine | 3601 W 13 Mile Rd Ste Ec, Royal Oak, MI 48073 | 2012-05-15 |
| 1891082905 | Jennifer Nicole Malicke | Emergency Medicine | 727 Royal Ave, Royal Oak, MI 48073-5704 | 2011-07-09 |
| 1134431687 | Katherine Marie Schroeder | Emergency Medicine | 1210 N Washington Ave Apt 307, Royal Oak, MI 48067-1279 | 2010-07-12 |
| 1992960348 | Tariq Shihabuddin | Emergency Medicine | 5097 Mansfield Ave, Royal Oak, MI 48073-1104 | 2008-07-25 |
| Find all providers in ROYAL OAK | ||||
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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.