Active NPI
Gilbert Wayne Pomeroy, NP
- Nurse Practitioner
- Farmington Hills, MI
National Provider Identifier
1114105426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704156269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704156269 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Wellness Healthcare, PLLC | Current | 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.
-
- Psychiatry Physician
- Farmington Hills, MI
- NPI 1881211191
-
- Clinical Social Worker
- Milan, MI
- NPI 1184160251
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.