GARY HOLLANDER DO PLC (NPI# 1790901072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790901072 |
| Entity Type | Organization |
| Organization Name | GARY HOLLANDER DO PLC |
| Other Organization Name | PONTIAC TRAIL MEDICAL CENTER |
| Practice Address |
620 N Pontiac Trl Walled Lake MI 48390-3443 |
| Practice Telephone | 2486244511 |
| Practice Fax Number | 2486244408 |
| Mailing Telephone | 2486244511 |
| Mailing Fax Number | 2486244408 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBBIE SUE WITT-HAGGERTY (OFFICE MANAGER) |
| Authorized Official Telephone | 2486244511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
5101013058 | MI | Allopathic & Osteopathic Physicians |
| X | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
5101012793 | MI | Allopathic & Osteopathic Physicians |
| X | 363A00000X | Physician Assistant | 5601002389 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Pontiac Trail Medical Center | Doing Business As Name - Organization |
| Street Address |
620 N PONTIAC TRL |
| City | WALLED LAKE |
| State | MI |
| Zip Code | 48390-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627802 | Julie Marie Micheli | Physician Assistant | 620 N Pontiac Trl, Walled Lake, MI 48390-3443 | 2005-08-30 |
| 1386195295 | Haley Johnson | Physician Assistant | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2016-10-17 |
| 1013364777 | Kyle Fog | Student in an Organized Health Care Education/Training Program | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2016-05-23 |
| 1760845895 | Madiha Salim | Internal Medicine | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2016-04-05 |
| 1699144584 | Linda Ho | Pharmacy Technician | 620 N Pontiac Trl, Pontiac Trail Pharmacy, Walled Lake, MI 48390-3448 | 2015-09-21 |
| 1063881118 | Kerri Herrin | Pharmacy Technician | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2015-09-18 |
| 1619394004 | Mohammad Saleh | Internal Medicine | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2014-03-24 |
| 1902159437 | Lakes Area Foot and Ankle Care, Pllc | Podiatrist | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2012-10-22 |
| 1104192327 | Beth Maroko | Pharmacist | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2012-04-02 |
| 1467602904 | Michael Anthony Peters | Pharmacist | 620 N Pontiac Trl, Walled Lake, MI 48390-3448 | 2008-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820913 | Elizabeth Ann Manela | Speech-Language Pathologist | 2075 East West Maple Road, Suite B203, Walled Lake, MI 48390 | 2020-08-05 |
| 1205459674 | Allor Outdoor Services LLC | Chore Provider | 3225 E Oakley Park Rd, Commerce Twp, MI 48390 | 2020-05-20 |
| 1467004382 | Convenient Cm PC | Dentist | 2655 Oakley Park Rd, Suite 101, Commerce Twp, MI 48390 | 2019-07-11 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1255858296 | Finn Family Chiropractic Pllc | Chiropractor | 2344 South Commerce Road, Walled Lake, MI 48390 | 2017-08-29 |
| 1588012629 | Shane Macphee | Chiropractor | 2901 Commerce Crossings, Commerce Township, MI 48390 | 2016-05-31 |
| 1245690114 | Lisa Jensen | Nurse Practitioner | 100 West Maple Rd., Walled Lake, MI 48390 | 2016-03-04 |
| 1255725123 | Carissa Karanth | Counselor | 1500 Rustic Lane, Wolverine Lake, MI 48390 | 2015-03-27 |
| 1689095093 | Mabell Omoye Scott | Licensed Vocational Nurse | 724 Owl Court, Wolverine Lake, MI 48390 | 2014-01-02 |
| 1093002230 | Ilze Liene Junkulis-muller | Pharmacist | 495 Haggerty, Traget Pharmacy #0896, Walled Lake, MI 48390 | 2011-07-08 |
| Find all providers in zip 48390 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
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|---|---|---|---|---|
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| 1518493824 | Your Way Care Pllc | Family Medicine | 404 Northlawn Ave, East Lansing, MI 48823-3119 | 2017-05-05 |
| 1649692997 | New Horizons Health Services Pllc | Family Medicine | 575 40th St, Newaygo, MI 49337-8775 | 2014-01-06 |
| 1063690840 | John A Mulder, Md PC | Family Medicine | 600 Broadway Ave Nw, #423, Grand Rapids, MI 49504-7305 | 2008-02-05 |
| 1316158223 | Louise Anne Ruva | Family Medicine | 1150 Griswold St, Detroit, MI 48226-1900 | 2007-05-24 |
| 1770704843 | Eleanor May Parshall | Family Medicine | 415 Mill Road, Suite 4, Adrian, MI 49221-1764 | 2007-05-02 |
| 1588697882 | Colleen Cheri Tallen | Family Medicine | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2006-07-09 |
| 1386108793 | Dave Quilliam | Family Medicine | 324 Meadows Dr, Grayling, MI 49738-2015 | 2019-01-30 |
| 1063917425 | Saint Mary's Health Services | Family Medicine | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2018-03-28 |
| 1972050748 | Munson Home Care | Family Medicine | 550 Munson Ave, Traverse City, MI 49686-3580 | 2016-09-08 |
| Find all providers with the same taxonomy | ||||
| City | WALLED LAKE |
| Zip Code | 48390 |
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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.