B & G WELLNESS INC (NPI# 1962017780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962017780 |
| Entity Type | Organization |
| Organization Name | B & G WELLNESS INC |
| Other Organization Name | B & G CLINICAL SERVICES INC |
| Practice Address |
9178 Highland Rd Ste 1 White Lake MI 48386-4619 |
| Mailing Address |
4898 Gregory Road Dexter MI 48130 |
| Practice Telephone | 2486981999 |
| Mailing Telephone | 7347308445 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | JULIE BUMPUS (OWNER) |
| Authorized Official Telephone | 7347308445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| B & G Clinical Services INC | Former Legal Business Name - Organization |
| B & G, Wellness INC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7444 Ann Arbor Street, Dexter, MI 48130 | 7347308445 |
| Street Address |
9178 HIGHLAND RD STE 1 |
| City | WHITE LAKE |
| State | MI |
| Zip Code | 48386-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234803 | Ashley Ziebarth | Nurse Practitioner | 9178 Highland Rd Ste 1, White Lake, MI 48386-4619 | 2020-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447733613 | Michelle A Warr | Occupational Therapist | 10770 Elizabeth Lake, White Lake, MI 48386 | 2018-09-12 |
| 1609368240 | Nerissa Sukarukoff | Speech-Language Pathologist | 9274 Steephollow Drive, White Lake, MI 48386 | 2018-05-30 |
| 1811322464 | Shanita Brumwell | Counselor | 10163 Cedar Island Rd, White Lake, MI 48386 | 2013-09-13 |
| 1518280056 | Mandi Withey | Psychologist | 7784 Pontiac Lake Rd, White Lake, MI 48386 | 2010-03-11 |
| 1619042348 | John Paul Zablocki | Dentist | John P Zablocki Dds, 9178 Highland Rd #3, White Lake, MI 48386 | 2006-11-21 |
| 1659456523 | Mark H Richter | General Practice | 8355 Highland Rd #106, White Lk, MI 48386 | 2006-10-26 |
| 1265554836 | Emily Marie Emerick | Occupational Therapist | 10770 Elizabeth Lake Rd, White Lake, MI 48386 | 2007-04-04 |
| 1306328216 | Christin J Gilbert | Counselor | 2073 Drury Ln, White Lake, MI 48386-1535 | 2018-09-06 |
| 1407020472 | John Walter Beiter | Counselor | 2000 Kingston St, White Lake, MI 48386-1613 | 2008-04-21 |
| 1790133551 | Paula Albright | Registered Nurse | 8941 Pontiac Lake Rd Apt 6, White Lake, MI 48386-1673 | 2016-06-01 |
| Find all providers in zip 48386 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234803 | Ashley Ziebarth | Nurse Practitioner | 9178 Highland Rd Ste 1, White Lake, MI 48386-4619 | 2020-01-20 |
| 1720377914 | Suzanne Kristine Coleman | Nurse Practitioner | 4641 S Quarry Crk, White Lake, MI 48383-1872 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 48386 |
Please comment or provide details below to improve the information on B & G WELLNESS INC.
| 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.