WATERFORD MEDICAL ASSOCIATES PC (NPI# 1831244912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831244912 |
| Entity Type | Organization |
| Organization Name | WATERFORD MEDICAL ASSOCIATES PC |
| Practice Address |
3560 Pontiac Lake Rd Waterford MI 48328-2337 |
| Practice Telephone | 2486742259 |
| Practice Fax Number | 2486743356 |
| Mailing Telephone | 2486742259 |
| Mailing Fax Number | 2486743356 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-05-14 |
| Authorized Official Name | DR. PAUL MARTIN GOLD (PRESIDENT) |
| Authorized Official Telephone | 2486742259 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3560 PONTIAC LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396708681 | Joel K Leib | Family Medicine | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2006-04-09 |
| 1871025189 | Howard Louis Garvin | Pharmacist | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2017-03-28 |
| 1316393309 | Great Lakes Podiatry Associates Pllc | Podiatrist | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2016-05-09 |
| 1538285036 | Michigan Associates In Podiatric Medicine and Surgery PC | Podiatrist | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2007-03-22 |
| 1386758852 | Sheldon J Goldstein | Podiatrist | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2006-08-19 |
| 1093726507 | Waterford Medical Pharmacy Inc | Pharmacy | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2006-08-10 |
| 1649219361 | Marsha Schultz | Personal Emergency Response Attendant | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2006-06-06 |
| 1093778037 | Paul M. Gold | Family Medicine | 3560 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1417452996 | Kristin Randa | Family Medicine | 7010 N Tichigan Rd, Waterford, WI 53185-1760 | 2018-03-27 |
| 1588193221 | Kimberley Lynn Spencer-ion | Family Medicine | 2536 N Williams Lake Rd, Waterford, MI 48327-1054 | 2017-06-07 |
| 1760864508 | Sadeer Peter | Family Medicine | 279 Summit Dr Ste 107, Waterford, MI 48328-3364 | 2015-06-28 |
| 1720330392 | Gina Gora M D Pllc | Family Medicine | 3347 Wormer Dr, Waterford, MI 48329-2569 | 2012-10-08 |
| 1053647131 | Motown Residential Physician Pllc | Family Medicine | 852 Cedargate Ct, Waterford, MI 48328-2606 | 2009-10-26 |
| 1528290681 | Anne Bingham Pierson, M.d. | Family Medicine | 215 Parkway North, Sonalysts, Inc., Waterford, CT 06385 | 2009-08-21 |
| 1942467659 | Regional Health Services, Inc. | Family Medicine | 991 Route 19 N, Suite B, Waterford, PA 16441-9739 | 2008-05-20 |
| 1467579011 | Micalyn D Baney | Family Medicine | 218 E 3rd St, Waterford, PA 16441-9753 | 2007-03-26 |
| Find all providers in WATERFORD | ||||
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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.