DENNIS C PACKEY (NPI# 1821089236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821089236 |
| Entity Type | Individual |
| Full Name | DENNIS C PACKEY |
| Credential | DO |
| Practice Address |
20867 Mack Ave Suite 3 Grosse Pointe Woods MI 48236-1392 |
| Practice Telephone | 3138860600 |
| Practice Fax Number | 3138860612 |
| Mailing Telephone | 3138860600 |
| Mailing Fax Number | 3138860612 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
5101006508 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4836829 | 05 | |
| CONTROLLED SUBSTANCE | 5101006508 | 01 | |
| MI | 4836838 | 05 | |
| DEA | AP5848102 | 01 |
| Street Address |
20867 MACK AVE SUITE 3 |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip Code | 48236-1392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854003 | Teri Lynn Hammer | Neuromusculoskeletal Medicine & OMM | 20867 Mack Ave, Ste 7, Grosse Pointe Woods, MI 48236-1392 | 2005-07-08 |
| 1033412747 | Edward G. Jankowski M.d. P.C. | Otolaryngology | 20867 Mack Ave, Suite 2, Grosse Pointe Woods, MI 48236-1356 | 2010-12-20 |
| 1841436201 | Andrea Andrzejczak Ph.d. | Point of Service | 20867 Mack Ave, Suite 4, Grosse Pointe Woods, MI 48236-1392 | 2009-01-06 |
| 1982725735 | Lakeside Neurology P C | Psychiatry & Neurology | 20867 Mack Ave, Ste 6, Grosse Pointe Woods, MI 48236-1392 | 2007-04-02 |
| 1376667634 | Dennis C. Packey, Do PC | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Woods, MI 48236-1392 | 2007-03-19 |
| 1932238052 | Lakeshore Osteopathic Center,p.c. | Neuromusculoskeletal Medicine & OMM | 20867 Mack Ave, Ste 7, Grosse Pointe Woods, MI 48236-1392 | 2007-03-05 |
| 1366586893 | Edward G. Jankowski | Otolaryngology | 20867 Mack Ave, Suite 2, Grosse Pointe Woods, MI 48236-1392 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376667634 | Dennis C. Packey, Do PC | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Woods, MI 48236-1392 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371315 | Matrix Medical Pllc | Internal Medicine | 52611 Blueridge Dr, Shelby Twp, MI 48316-2977 | 2018-10-01 |
| 1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
| 1992252191 | Vitality Home Health Services,inc. | Internal Medicine | 917 W Milham Ave, Portage, MI 49024-1248 | 2016-09-06 |
| 1427419662 | Shoaib A Rasheed | Internal Medicine | 250 Mcdougall St, Detroit, MI 48207-4291 | 2016-03-16 |
| 1710226477 | Nancy Couch | Internal Medicine | 791 Bradburn Ct, Northville, MI 48167-1027 | 2013-01-31 |
| 1639425879 | Anhkiet L Tran | Internal Medicine | 29736 Orion Ct, Farmington Hills, MI 48334-4114 | 2012-07-25 |
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1699055269 | Mobilized Docs of Michigan LLC | Internal Medicine | 23943 Industrial Park Dr, Farmington Hills, MI 48335-2862 | 2011-08-26 |
| 1780986018 | Spectrum Health Primary Care Partners | Internal Medicine | 727 Apple Ave, Holland, MI 49423-5405 | 2010-11-18 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
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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.