Guidance Healthcare, PLLC
Organization Active NPI General Practice Physician · Commerce TWP, MI
NPI 1235677196 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1235677196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 5101007018 (MI)
- Legal business name
- GUIDANCE HEALTHCARE, PLLC
- Practice address
- 1990 Union Lake Rd., Ste 100
Commerce TWP, MI 48382-2200 - Phone
- (248) 303-4680
- Fax
- (248) 572-4995
- NPI assigned
- Feb 10, 2017
- Organization subpart
- No
Authorized official
- Name
- Theodore G Engelmann, DO
- Title
- Physician /Owner
- Phone
- (630) 947-2894
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180309002255 | MI | Part B Supplier - Clinic/Group Practice | 5395006258 |
Receives reassigned benefits from 1 practitioner Practice locations: Commerce Township, MI |
National Provider Directory
Locations
720 N Lapeer Rd
Ste 101
Lake Orion, MI 48362
Phone (248) 693-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 5101007018 | MI | |
| General Practice Physician |
208D00000X | 5101007018 | MI | Yes |
Addresses
Primary practice location
1990 Union Lake Rd., Ste 100
Commerce TWP, MI 48382-2200
Mailing address
PO Box 355
Lakeville, MI 48366-0355
Phone (248) 303-4680
Other providers in Commerce TWP, MI
- Jennifer Gavia
- Blair Joseph Globerman
- Margaret A Glynn
- Max David Gosselin
- Susan Grant
- Sara Hannoodi
- Kimberly B Hart
- Heart 'and' Soul Therapy, LLC
- Cynthia Hemingway
- Megan Elizabeth Hotrum
All providers in Commerce TWP, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.