WILLIAM BEAUMONT HOSPITAL (NPI# 1972698744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972698744 |
| Entity Type | Organization |
| Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Other Organization Name | BEAUMONT PROFESSIONAL SERVICES |
| Practice Address |
44201 Dequindre Troy MI 48085 |
| Mailing Address |
3601 W 13 Mile Rd Fsc Royal Oak MI 48073 |
| Practice Telephone | 2484232454 |
| Mailing Telephone | 2484232454 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | CAROLYN WILSON (EVP CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9475223326 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILLIAM BEAUMONT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 010F36246 | 01 |
| Other Name | Type Code |
|---|---|
| BEAUMONT PROFESSIONAL SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1376100479 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd, D - 5, Community Health, Southfield, MI 48033-3849 | 2019-05-23 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1437600103 | William Beaumont Hospital | Pharmacy | 41965 Ecorse Rd Ste 100, Van Buren Twp, MI 48111-1164 | 2016-10-18 |
| 1881904365 | William Beaumont Hospital | Clinic/Center | 1026 Eleven Mile Road, Royal Oak, MI 48067-5401 | 2010-10-18 |
| 1093974016 | William Beaumont Hospital | Clinic/Center | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2008-06-05 |
| 1962413187 | William Beaumont Hospital | Clinic/Center | 15979 Hall Road, Suite 200, Macomb, MI 48044-5360 | 2006-08-11 |
| 1093744153 | William Beaumont Hospital | Home Infusion | 1410 E 14 Mile Rd, Madison Heights, MI 48071-1541 | 2006-07-01 |
| 1699704700 | William Beaumont Hospital | Durable Medical Equipment & Medical Supplies | 28105 Woodward Ave, Berkley, MI 48072-0910 | 2006-07-01 |
| Street Address |
44201 DEQUINDRE |
| City | TROY |
| State | MI |
| Zip Code | 48085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285600288 | Jean Bergin | Nurse Anesthetist, Certified Registered | 44201 Dequindre, 400 Fsc - PCs, Troy, MI 48085-1198 | 2006-02-28 |
| 1376765966 | Kristina Eiden | Nurse Anesthetist, Certified Registered | 44201 Dequindre, Troy, MI 48085-1117 | 2007-05-03 |
| 1710109301 | Suzanne Clickett | Nurse Anesthetist, Certified Registered | 44201 Dequindre, Troy, MI 48073-6769 | 2007-05-03 |
| 1578646063 | Amy Landan | Physician Assistant | 44201 Dequindre, Troy, MI 48085-1117 | 2006-10-20 |
| 1861444234 | Albert J Rocchini | Emergency Medicine | 44201 Dequindre, Troy, MI 48073-6769 | 2006-05-16 |
| 1740243633 | Lisa Tribuzio | Nurse Anesthetist, Certified Registered | 44201 Dequindre, 400 Fsc - PCs, Troy, MI 48085-1198 | 2006-04-11 |
| 1457314239 | Kathleen Metcalf | Nurse Anesthetist, Certified Registered | 44201 Dequindre, 400 Fsc - PCs, Troy, MI 48085-1198 | 2006-04-11 |
| 1659332567 | Lindsay Studt | Nurse Anesthetist, Certified Registered | 44201 Dequindre, 400 Fsc - PCs, Troy, MI 48085-1198 | 2006-03-30 |
| 1659331700 | Ralph Zade | Pathology | 44201 Dequindre, Troy, MI 48085 | 2006-03-24 |
| 1861452963 | Thomas Verhelle | Radiology | 44201 Dequindre, Troy, MI 48085-1198 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664881 | Upstate Concierge Medicine Pllc | Emergency Medicine | 216 River St Ste 3, Troy, NY 12180-3848 | 2018-06-28 |
| 1831453273 | Ingrid Zylinski | Emergency Medicine | 888 W Big Beaver Rd Suite #1450 Perspective Counseling, Troy, MI 48084 | 2012-06-29 |
| 1669748091 | Terrence Hwakai Liang | Emergency Medicine | 3797 Victoria Dr, Troy, MI 48083-6307 | 2012-03-29 |
| 1962713750 | Armenia Mountain Emergency Physicians LLC | Emergency Medicine | 101 Elmira St., Troy, PA 16947-1271 | 2010-06-25 |
| 1841336658 | Michael Scott Reddington | Emergency Medicine | 754 Sandalwood Dr, Troy, MI 48085-1644 | 2007-01-29 |
| 1538232830 | Melissa Fiorini | Emergency Medicine | 79 Vandenburgh Avenue, Troy, NY 12180 | 2006-11-16 |
| 1346251816 | Ali Syed Taqi | Emergency Medicine | 6397 Denton Dr, Troy, MI 48098-2006 | 2006-08-10 |
| 1710995287 | Stephen J Sokaris | Emergency Medicine | 1300 Massachusetts Avenue, Troy, NY 12180 | 2006-08-03 |
| 1639117534 | Adolfo Robledo | Emergency Medicine | 1330 Highway 231 S, Troy, AL 36081-3058 | 2006-06-03 |
| 1821043209 | Gail Moolsintong | Emergency Medicine | 1165 A East Cherry St, Troy, MO 63379 | 2006-05-23 |
| Find all providers in TROY | ||||
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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.