Active NPI
Gabrielle Lynn D'Amore, PA-C
- Physician Assistant
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006657
- Practice address
- 3577 West 13 Mile Road
Suite 204
Royal Oak, MI 48073 - Phone
- (248) 551-4244
- Fax
- (248) 551-1094
- NPI assigned
- Jun 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006657 | MI | Primary |
Addresses
Primary practice location
3577 West 13 Mile Road
Suite 204
Royal Oak, MI 48073
Mailing address
3577 West 13 Mile Road
Suite 204
Royal Oak, MI 48073
Phone (248) 551-4244
Other names 1
- Gabrielle Lynn Monit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006657 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals, P.C. | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Past | Accepting new patients |
Locations
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
32255 Northwestern Hwy
Ste 150
Farmington Hills, MI 48334
Phone (248) 419-3456
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
3577 W 13 Mile Rd
Ste 103
Royal Oak, MI 48073
Phone (248) 288-4500
3577 W 13 Mile Rd
Ste 310
Royal Oak, MI 48073
Phone (248) 329-3060
3577 W 13 Mile Rd
Ste 204
Royal Oak, MI 48073
Phone (248) 551-2441
Interoperability endpoints
- gdamore1124412@direct.hfhs.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Physical Therapist
- Dearborn, MI
- NPI 1316757446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1265871396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3577 WEST 13 MILE ROAD",
"address_2": "SUITE 204",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-551-4244",
"fax_number": "248-551-1094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 WEST 13 MILE ROAD",
"address_2": "SUITE 204",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-551-4244",
"fax_number": "248-551-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMORE",
"first_name": "GABRIELLE",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-21",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "MONIT",
"middle_name": "LYNN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.