Active NPI
Marla R. Rowe Gorosh, M.D.
- Family Medicine Physician
- Troy, MI
National Provider Identifier
1447324959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301044253
- Practice address
- Henry Ford Health System
2825 Livernois
Troy, MI 48083 - Phone
- (248) 680-6000
- Fax
- (248) 680-6068
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301044253 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
2825 Livernois
Troy, MI 48083
Mailing address
Henry Ford Health System
2825 Livernois
Troy, MI 48083
Phone (248) 680-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080H262390 | Other | BLUE CROSS-BLUE CROSS | |
| 152488210 | Medicaid | MI | |
| MR044253 | Other | CHAMPUS-CHAMPUS | |
| MR044253 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301044253 | MI | MD | Family Medicine Physician |
Interoperability endpoints
- mgorosh12707@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1447324959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "2825 LIVERNOIS",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-680-6000",
"fax_number": "248-680-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "2825 LIVERNOIS",
"city": "TROY",
"state": "MI",
"postal_code": "48083",
"telephone_number": "248-680-6000",
"fax_number": "248-680-6068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE GOROSH",
"first_name": "MARLA",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301044253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "080H262390",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152488210",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MR044253",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MR044253",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.