Henry Ford Wyandotte Hospital
Organization Active NPI Obstetrics & Gynecology Physician · Wyandotte, MI
NPI 1457586646 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1457586646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- HENRY FORD WYANDOTTE HOSPITAL
- Practice address
- 2333 Biddle Ave
Wyandotte, MI 48192 - Phone
- (734) 324-3516
- NPI assigned
- May 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Mark Smith, MD
- Title
- SVP
- Phone
- (517) 205-6407
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 8
Practitioners 324
-
Munther K Alaiwat, M.D.
-
Louis Andary Jr., MD
-
Jessica Lynn Baginski, MSN, RN, AGACNP-BC
-
Heather Baker, CRNA
-
Andrew W Barc, PA
-
Habeeb A Bello, D.O
-
Jeanette Blassic, PA-C
-
Hannah Marie Bolsley, PA-C
-
Crystal Bowen, FNP
-
Karen J Bubenko, CRNA
-
David M Buckeridge, CRNA
-
Lindsey Mae Buehrer, AGPCNP-BC
-
Tania Isabel Caballero Jimenez, BCSN,MSN, ACNP- BC
-
Jayne A Cady, CRNA
-
Kendra Ann Calhoun, ACNP
-
Logan Campbell, M.D.
-
Charles T Carpenter, CRNA
-
Zebulun Cope, DO
-
Alexandria Hayes Cotner, CRNA
-
Bethany Dalessandro, AG-ACNP
-
Jessica Lynn Davis, N.P.
-
Tracy K Delgado, CRNA
-
Grace Ann Engler, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000431 | MI | Part B Supplier - Clinic/Group Practice | 2264334499 |
Receives reassigned benefits from 245 practitioners 3 other NPIs on this enrollment Practice locations: Rockwood, MI; Wyandotte, MI; Trenton, MI; Southgate, MI; Novi, MI; Brownstown TWP, MI; Allen Park, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | MI | Yes | |
| Gynecologic Oncology Physician |
207VX0201X | |||
| Urology Physician |
208800000X | |||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
2333 Biddle Ave
Wyandotte, MI 48192
Mailing address
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 324-3516
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160Q246570 | Other | MI | BLUE CROSS BLUE SHIELD AND BLUE CARE NETWORK |
Other providers in Wyandotte, MI
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
- Henry Ford Wyandotte Hospital
All providers in Wyandotte, MI · Obstetrics & Gynecology 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 Mar 6, 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.