NPIMap

Organization Active NPI

Henry Ford Wyandotte Hospital

  • Family Medicine Physician
  • Trenton, MI
National Provider Identifier
1679902597
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HENRY FORD WYANDOTTE HOSPITAL
Practice address
1640 Fort Street
Suite D Attn Denise
Trenton, MI 48183
Phone
(734) 391-3057
Fax
(734) 391-3052
NPI assigned
Nov 2, 2013
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Jacob Budd
Title
Director
Phone
(734) 391-3057

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Family Medicine Physician 207Q00000X NU Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X NU

Addresses

Primary practice location

1640 Fort Street
Suite D Attn Denise
Trenton, MI 48183

Mailing address

3333 Biddle Ave
Wyandotte, MI 48192-6284
Phone (734) 225-9112

Other names 1

  • HFW Center for Weight Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Mida a Boyer Crna21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1679902597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926284",
            "telephone_number": "734-225-9112",
            "fax_number": "734-225-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 FORT STREET",
            "address_2": "SUITE D ATTN DENISE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-391-3057",
            "fax_number": "734-391-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD WYANDOTTE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-391-3057"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HFW Center for Weight Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.