Gynecology and Holistic Care PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

JB040663 Issued in MI

Legal business name

GYNECOLOGY AND HOLISTIC CARE PC

Practice address

43211 Dalcoma Dr
Suite 4
Clinton Township, MI 48038-6309

Phone

(586) 228-7075

Fax

(586) 228-7095

NPI assigned

Jan 8, 2008

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamshid Bhavnagri, MDNPI 1134145766

Title

Physician Owner

Phone

(586) 228-7075

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamshid Bhavnagri, MD

  • Obstetrics & Gynecology Physician
  • Clinton Township, MI
  • NPI 1134145766
  NPD (past) Authorized official
• Stacie Lyn Patterson, PA

  • Surgical Physician Assistant
  • Goodyear, AZ
  • NPI 1053430876
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1205011319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43211 DALCOMA DR",
            "address_2": "SUITE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386309",
            "telephone_number": "586-228-7075",
            "fax_number": "586-228-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43211 DALCOMA DR",
            "address_2": "SUITE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386309",
            "telephone_number": "586-228-7075",
            "fax_number": "586-228-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY AND HOLISTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BHAVNAGRI",
        "authorized_official_first_name": "JAMSHID",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "586-228-7075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "JB040663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4649503",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "JB040663",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Gutmann
• Angela Faye Gutt, RN
• Maliyah Guzman
• David A. Guzzardo, D.C.
• Sarah Ann Guzzardo, MS, LLPC
• Jonelle Haas, PTA
• Kelly Joanne Haas, M.A., LPC
• Adnan R Habbal, M.D.
• Kristin Graessle Haberek, MSW
• Reema Habra, MD

• Obstetrics & Gynecology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.