Individual provider Active NPI

Gilbert Wayne Pomeroy, NP

  • Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1114105426
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704156269 Issued in MI
Practice address
27600 Farmington Rd Ste 107
Farmington Hills, MI 48334-3364
Phone
(313) 724-3111
Fax
(248) 294-1174
NPI assigned
Feb 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 4704156269 MI
Nurse Practitioner 363L00000X 4704156269 MI Primary

Addresses

Primary practice location

27600 Farmington Rd Ste 107
Farmington Hills, MI 48334-3364

Mailing address

232 Cherry St
Milan, MI 48160-1018
Phone (734) 309-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704156269MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Wellness Healthcare, PLLC CurrentSince Mar 12, 2024 Accepting new patients
Restorative Health, PLLC Past Accepting new patients

Locations

27600 Farmington Rd
Ste 107
Farmington Hills, MI 48334
Phone (248) 987-2111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1114105426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CHERRY ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601018",
            "telephone_number": "734-309-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 FARMINGTON RD STE 107",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343364",
            "telephone_number": "313-724-3111",
            "fax_number": "248-294-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "GILBERT",
        "middle_name": "WAYNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704156269",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704156269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.