GREAT LAKES PHYSICAL MEDICINE AND REHABILITATION (NPI# 1871794669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871794669 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES PHYSICAL MEDICINE AND REHABILITATION |
| Practice Address |
3247 Biddle Ave Wyandotte MI 48192-5951 |
| Practice Telephone | 7342873000 |
| Mailing Telephone | 7342873000 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | DR. ANNE ABRAHAMSON (OWNER PHYSICIAN) |
| Authorized Official Telephone | 3133044818 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
078199 | MI | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40700 Woodward Ave, Suite A, Bloomfield Hills, MI 483045109 | 3133044818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346447026 | Great Lakes Physical Medicine and Rehabilitation | Physical Medicine & Rehabilitation | 3247 Biddle Ave, Wyandotte, MI 48192-5951 | 2007-06-27 |
| Street Address |
3247 BIDDLE AVE |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-5951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003870148 | Anne M Abrahamson | Physical Medicine & Rehabilitation | 3247 Biddle Ave, Wyandotte, MI 48192-5951 | 2006-04-14 |
| 1790295004 | Bethany Ann Stallings | Nurse Practitioner | 3247 Biddle Ave, Wyandotte, MI 48192-5951 | 2017-10-02 |
| 1801247994 | Anne Marie Zahn | Nurse Practitioner | 3247 Biddle Ave, Wyandotte, MI 48192-5917 | 2016-06-29 |
| 1346447026 | Great Lakes Physical Medicine and Rehabilitation | Physical Medicine & Rehabilitation | 3247 Biddle Ave, Wyandotte, MI 48192-5951 | 2007-06-27 |
| 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 | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730128596 | Bestcare Home Health Dba Kenny Rehab Inc | Clinic/Center | 3363 Fort Street, Wyandotte, MI 48192 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257287 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5858 S 47 Rd, Cadillac, MI 49601-9508 | 2020-05-26 |
| 1538790241 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2325 Rockwell Dr, Midland, MI 48642-9325 | 2020-01-31 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1013566199 | J.l Hunt Therapeutics | Clinic/Center | 43700 Woodward Ave Ste 108, Bloomfield Hills, MI 48302-5060 | 2019-09-10 |
| 1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1366934184 | Rehabcare Group East, LLC | Clinic/Center | 1300 N Telegraph Rd, Dearborn, MI 48128-1204 | 2018-06-06 |
| 1902305048 | Nrmi, LLC | Clinic/Center | 14461 E 11 Mile Rd, Warren, MI 48088-4886 | 2018-02-05 |
| 1194230888 | Blue Water Speech Therapy | Clinic/Center | 7950 Caberfae Trl, Clarkston, MI 48348-3707 | 2017-12-05 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREAT LAKES PHYSICAL MEDICINE AND REHABILITATION.
| 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.