MARK GULOW (NPI# 1942247689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942247689 |
| Entity Type | Individual |
| Full Name | MARK GULOW |
| Credential | D.O. |
| Practice Address |
30581 Stephenson Hwy Madison Heights MI 48071-1610 |
| Mailing Address |
13636 Dix Toledo Rd Southgate MI 48195-2432 |
| Practice Telephone | 2485891770 |
| Mailing Telephone | 7342832262 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 5101008280 | MI | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
008280 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5101008280 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 5101008280 | MI | Allopathic & Osteopathic Physicians |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 112881665 | 05 | |
| MI | 1942247689 | 05 | |
| MI | 113166549 | 05 | |
| MI | BC/BS | MG008280 | 01 |
| Street Address |
30581 STEPHENSON HWY |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988501 | Serena Hoang | Physician Assistant | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 | 2020-06-25 |
| 1548882905 | Brittney Sanders | Nurse Practitioner | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 | 2020-05-08 |
| 1184097701 | Rita Youkhana | Physician Assistant | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 | 2015-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467014860 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 1410 E 14 Mile Rd Ste 300, Madison Heights, MI 48071-1541 | 2019-07-05 |
| 1295280048 | Apex Recovery Sciences | Durable Medical Equipment & Medical Supplies | 30453 Groveland St, Madison Heights, MI 48071-2113 | 2016-08-22 |
| 1053717231 | Home Free | Durable Medical Equipment & Medical Supplies | 330 E 13 Mile Rd Apt 19, Madison Heights, MI 48071-2164 | 2014-11-14 |
| 1295034403 | Sona Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 27745 Dequindre Rd, Madison Heights, MI 48071 | 2011-03-28 |
| 1205021334 | Premier Health Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 26550 John R Rd, Suite B, Madison Heights, MI 48071-3612 | 2007-09-11 |
| 1316096035 | Discount Medical Equipment &supplies | Durable Medical Equipment & Medical Supplies | 330 E 12mile Road, Madison Heights, MI 48071 | 2007-01-10 |
| 1174689020 | Sunrise Adult Day Care Center | Durable Medical Equipment & Medical Supplies | 4830 South Amherst Hwy, Madison Heights, VA 24572 | 2006-12-28 |
| 1457416323 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 1005 E 13 Mile Rd, Madison Heights, MI 48071-1533 | 2006-12-22 |
| 1932209079 | I-flow Corporation | Durable Medical Equipment & Medical Supplies | 1551 E Lincoln Ave, Suite 122, Madison Heights, MI 48071-4159 | 2006-09-25 |
| 1396844627 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 4090 South Amherst Highway, Madison Heights, VA 24572-5997 | 2006-09-22 |
| Find all providers in MADISON HEIGHTS | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on MARK GULOW.
| 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.