Bloomfield Medical Center PLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BLOOMFIELD MEDICAL CENTER PLC

Practice address

23900 Orchard Lake Rd
Suite 150
Farmington Hills, MI 48336-2501

Phone

(248) 203-1282

Fax

(248) 203-4148

NPI assigned

Sep 27, 2006

Last updated

Feb 25, 2020By 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

Rene Weeks

Title

Billing/Credentialing Manager

Phone

(248) 203-1282

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 10

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.

• Christine Gallardo Roe, AGPCNP

  • Primary Care Nurse Practitioner
  • Farmington Hills, MI
  • NPI 1336560366
  Medicare reassignment Care Compare group NPD
• Amy Abdelnour Davisson, PA-C

  • Physician Assistant
  • Highland Park, MI
  • NPI 1821178518
  Medicare reassignment Care Compare group
• Nazmul Haque, M.D.

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1366414377
  Medicare reassignment Care Compare group
• Jabin Jalil, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1982676391
  Medicare reassignment Care Compare group
• Lisa Levone Jones, FNP

  • Primary Care Nurse Practitioner
  • Farmington Hills, MI
  • NPI 1124651047
  Medicare reassignment
• Arti Madhavan, MD

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1457322794
  Medicare reassignment
• Jerry Huss, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
  • NPI 1639197726
  NPD (past)
• Naveed Siddique, MD

  • Family Medicine Physician
  • Warren, MI
  • NPI 1831282706
  NPD (past)
• Sameena Masood Zahoor, MD

  • Family Medicine Physician
  • Plymouth, MI
  • NPI 1649242280
  NPD (past)
• Laxmi N Prasad, M.D

  • Internal Medicine Physician
  • Wesley Chapel, FL
  • NPI 1487948089
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1265523328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32588",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482320588",
            "telephone_number": "248-203-1282",
            "fax_number": "248-203-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 ORCHARD LAKE RD",
            "address_2": "SUITE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362501",
            "telephone_number": "248-203-1282",
            "fax_number": "248-203-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD MEDICAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "248-203-1282"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emani Bloodworth
• Matthew Bloom
• Phoenix Bloom
• Hayley Bloomer
• Bloomfield Eye Associates PC
• Bloomfield Medical Center-Urgent Care PLLC
• Anaya Bloomfield
• Katelin Bloomfield
• Kendra Octavia Blossom
• Brina Blount

• Clinic/Center in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.