VICTORY INSTITUTE FOR WEIGHT MANAGEMENT (NPI# 1851544555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851544555 |
| Entity Type | Organization |
| Organization Name | VICTORY INSTITUTE FOR WEIGHT MANAGEMENT |
| Practice Address |
2093 Health Dr Sw Suite 302 Wyoming MI 49519-9691 |
| Practice Telephone | 6164573600 |
| Practice Fax Number | 6162845208 |
| Mailing Telephone | 6164573600 |
| Mailing Fax Number | 6162845208 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | DR. MATTHEW S BLAIR (MEMBER) |
| Authorized Official Telephone | 6164573600 |
| Authorized Official Credential | D. O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2093 HEALTH DR SW SUITE 302 |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537011 | Thomas V Bilisko | Internal Medicine | 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519-9691 | 2005-06-09 |
| 1134509532 | Rehabilitation Therapy Associates | Clinic/Center | 2093 Health Dr Sw, Suite 201, Wyoming, MI 49519-9691 | 2015-06-02 |
| 1619374725 | Sharon Eileen Possehl | Nurse Practitioner | 2093 Health Dr Sw, Suite 202, Wyoming, MI 49519-9691 | 2014-12-04 |
| 1518243278 | Emily Suzanne Haligowski | Nurse Practitioner | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 | 2011-10-26 |
| 1851600803 | Cheryl Lynn Kruithof | Nurse Practitioner | 2093 Health Dr Sw, Suite 302, Wyoming, MI 49519-9691 | 2010-09-24 |
| 1396050118 | Armita Ghoddousi | Internal Medicine | 2093 Health Dr Sw, Wyoming, MI 49519-9691 | 2010-08-17 |
| 1982819611 | John Timothy Morris | Surgery | 2093 Health Dr Sw, Suite 300, Wyoming, MI 49519-9691 | 2007-05-14 |
| 1386791515 | Jeannie Wilcox | Physician Assistant | 2093 Health Dr Sw, #101, Wyoming, MI 49519-9691 | 2007-01-03 |
| 1477619997 | Bruce H Vermeer | Clinical Neuropsychologist | 2093 Health Dr Sw, Suite 200, Wyoming, MI 49519-9691 | 2006-12-29 |
| 1114094349 | Greater Grand Rapids Pulmonary and Critical Care Specialists PC | Internal Medicine | 2093 Health Dr Sw, #301, Wyoming, MI 49519-9691 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 207RB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730441916 | Vhs Physicians of Michigan | Internal Medicine | 29080 Inkster Rd, Suite 250, Southfield, MI 48034-1057 | 2012-06-13 |
| 1467858498 | The Bailey Medical Group PC | Internal Medicine | 15639 W Mcnichols Rd, Detroit, MI 48235-3541 | 2014-11-19 |
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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.