Henry Ford Wyandotte Hospital
Organization Active NPI Surgery Physician · Wyandotte, MI
NPI 1669922712 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1669922712
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- HENRY FORD WYANDOTTE HOSPITAL
- Practice address
- 2333 Biddle Ave
Wyandotte, MI 48192-4668 - Phone
- (734) 246-6000
- Fax
- (734) 246-6000
- NPI assigned
- Oct 12, 2016
- Organization subpart
- No
Authorized official
- Name
- Mark Smith, MD
- Title
- SVP
- Phone
- (517) 205-6407
Other NPIs on the same Medicare enrollment 4
Practitioners 68
-
MHD Hussam Al Jandali, M.D.
-
Oussama Al Sawas, M.D.
-
Muhannad Antoun, M.D
-
Usama Assaad, M.D.
-
Patrick Bradley, MD
-
Mustafizur Choudhury, D.O.
-
Wael Hussein Dabaja, D.O.
-
Michael S. Eichenhorn, M.D.
-
Haitham El-Haddad, M.D.
-
Jayna Marie Gardner-Gray, M.D.
-
Eric Goldstein, MD
-
Jonathan M Gwizdala, M.D.
-
Fadi Nather Said Hawa, M.D.
-
Daniel Hrabec, M.D.
-
Najia Huda, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120920000394 | MI | Part B Supplier - Clinic/Group Practice | 2264334499 |
Receives reassigned benefits from 150 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brownstown TWP, MI; Novi, MI; Southgate, MI; Wyandotte, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Hematology & Oncology Physician |
207RH0003X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
2333 Biddle Ave
Wyandotte, MI 48192-4668
Mailing address
1 Ford PL Ste 2E
Detroit, MI 48202-3450
Phone (313) 874-4806
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 · Surgery 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.