Individual provider Active NPI

Gabrielle Lynn D'Amore, PA-C

  • Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1265871396
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006657 Issued in MI
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

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000171 MI Practitioner - Physician Assistant 0345484812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006657MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals, P.C. CurrentSince Jun 12, 2013 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 12, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.