HENRY FORD WYANDOTTE HOSPITAL (NPI# 1730314915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730314915 |
| Entity Type | Organization |
| Organization Name | HENRY FORD WYANDOTTE HOSPITAL |
| Practice Address |
2333 Biddle Ave Wyandotte MI 48192-4668 |
| Practice Telephone | 7343243516 |
| Mailing Telephone | 7343243516 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | MR. JAMES MILLER (CFO) |
| Authorized Official Telephone | 7342466044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD AND BLUE CARE NETWORK | 350Q246010 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568861557 | Henry Ford Wyandotte Hospital | Otolaryngology | 23050 West Rd Ste 240, Brownstown Twp, MI 48183-1473 | 2014-08-15 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1669922712 | Henry Ford Wyandotte Hospital | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2016-10-12 |
| 1134677537 | Henry Ford Wyandotte Hospital | General Acute Care Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2016-09-14 |
| 1093182883 | Henry Ford Wyandotte Hospital | Pharmacy | 2333 Biddle Avenue, Wyandotte, MI 48192-0000 | 2015-08-27 |
| 1437542743 | Henry Ford Wyandotte Hospital | General Acute Care Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2015-03-11 |
| 1144634403 | Henry Ford Wyandotte Hospital | Nurse Practitioner | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2014-06-16 |
| 1710315932 | Henry Ford Wyandotte Hospital | Physician Assistant | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2013-10-25 |
| 1699102244 | Henry Ford Wyandotte Hospital | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2013-09-27 |
| 1083959480 | Henry Ford Wyandotte Hospital | General Acute Care Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2012-12-11 |
| 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 |
| 1649809989 | Ann-sophie Van Backle | Obstetrics & Gynecology | 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022721 | Stephanie A Cody | Pediatrics | 4625 2nd Ave Apt 109, Detroit, MI 48201-1238 | 2018-11-15 |
| 1427494889 | Danish Alamshahi Alamy Md | Pediatrics | 1 Hurley Plz # 2e, Flint, MI 48503-5902 | 2013-05-13 |
| 1073855482 | Jodi K. Garvin | Pediatrics | Helen De Vos Children's Hospital Nicu 3w, 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2013-03-24 |
| 1205052636 | Neonatology & Inpatient Pediatrics, Inc | Pediatrics | 1964 Westlake Ct, Bloomfield Hills, MI 48302-1286 | 2007-04-17 |
| 1912933771 | June C Murphy | Pediatrics | 1400 Genesys Pkwy, Grand Blanc, MI 48439-8068 | 2006-06-24 |
| 1922096718 | William D Clark | Pediatrics | 18101 Oakwood Blvd Ste 124, Dearborn, MI 48124-4089 | 2005-10-06 |
| 1477188555 | Msu Health Care Inc | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-03-09 |
| 1528608411 | Carl Joseph Domigan | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-01-08 |
| 1790334217 | Adila Mohammedfawzi Abulhamail | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-06 |
| 1558910216 | Mishref Mohammed Abdelhamid | Pediatrics | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2019-09-05 |
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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.