HENRY FORD MEDICAL CENTER LAKESIDE (NPI# 1912917931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912917931 |
| Entity Type | Organization |
| Organization Name | HENRY FORD MEDICAL CENTER LAKESIDE |
| Practice Address |
14500 Hall Rd Sterling Heights MI 48313-1229 |
| Practice Telephone | 5862472700 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES CONNELLY (CFO) |
| Authorized Official Telephone | 3138768714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD OF | 41033 | 01 |
| Street Address |
14500 HALL RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48313-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225562242 | Mareham Wahba | Pharmacist | 14500 Hall Rd, Sterling Heights, MI 48313-1229 | 2017-04-17 |
| 1326416314 | Mina Ishak | Pharmacist | 14500 Hall Rd, Sterling Heights, MI 48313-1229 | 2015-09-08 |
| 1750773198 | Rachel Rasmer | Physician Assistant | 14500 Hall Rd, Sterling Heights, MI 48313-1229 | 2015-02-23 |
| 1891110664 | Irb Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 14500 Hall Rd, Suite A, Sterling Heights, MI 48313-1229 | 2014-03-03 |
| 1962781807 | Bojana Jovanovic | Internal Medicine | 14500 Hall Rd, Sterling Heights, MI 48313-1229 | 2011-08-09 |
| 1295022184 | Erika Allan | Audiologist | 14500 Hall Rd, Sterling Heights, MI 48313-1229 | 2011-06-30 |
| 1922339977 | Soha Alfares | Internal Medicine | 14500 Hall Rd, Sterling Heights, MI 48313-1229 | 2010-01-14 |
| 1932367463 | Aditi Jaidka | Internal Medicine | 14500 Hall Rd, Henry Ford Medical Center - Lakeside, Sterling Heights, MI 48313-1229 | 2008-05-31 |
| 1457572885 | Mary Ruth Bloome | Pharmacist | 14500 Hall Rd, Sterling Heights, MI 48313-1229 | 2007-05-02 |
| 1396968236 | Quintino Iannucci | Pharmacist | 14500 Hall Rd, Amb. Pharmacy Dept., Sterling Heights, MI 48313-1229 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
| 1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
| 1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
| 1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
| 1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
| 1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
| 1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
| 1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
| 1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
| 1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
| Find all providers in zip 48313 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649752650 | Pioneer Endoscopy & Surgery Center | Clinic/Center | 36401 Van Dyke Ave, Sterling Heights, MI 48312-2763 | 2018-09-06 |
| 1194862656 | Maple Millennium Medical Center LLC | Clinic/Center | 5456 15 Mile Rd, Sterling Heights, MI 48310-5110 | 2007-01-31 |
| 1215919113 | Vision Institute of Michigan Surgery Center PC | Clinic/Center | 44650 Delco Blvd, Sterling Heights, MI 48313-1024 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1588285050 | Hall Road Asc LLC | Clinic/Center | 11051 Hall Rd Ste 100, Utica, MI 48317-5737 | 2020-05-06 |
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1992339147 | Movi Asc Management LLC | Clinic/Center | 5250 Auto Club Drive, Suite 170, Dearborn, MI 48126-2619 | 2020-02-26 |
| 1609409929 | Firestone Procedure Center LLC | Clinic/Center | 4520 Firestone St Ste C, Dearborn, MI 48126-4602 | 2020-02-14 |
| 1255972113 | Center Health Surgery Center LLC | Clinic/Center | 30671 Stephenson Hwy Ste F, Madison Heights, MI 48071-1635 | 2019-10-02 |
| 1942851639 | Northern Michigan Surgical Suites, LLC | Clinic/Center | 825 Moll Dr, Boyne City, MI 49712-9182 | 2019-09-24 |
| 1699328146 | Alliance Surgery Center, LLC | Clinic/Center | 3663 North Country Drive, Traverse City, MI 49684-4587 | 2019-07-23 |
| 1407313802 | Spectrum Health Hospitals | Clinic/Center | 4069 Lake Dr Se Ste 210, Grand Rapids, MI 49546-8816 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48313 |
Please comment or provide details below to improve the information on HENRY FORD MEDICAL CENTER LAKESIDE.
| 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.