Health Park Medical Practice PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

HEALTH PARK MEDICAL PRACTICE PC

Practice address

600 Health Park Blvd
Suite H
Grand Blanc, MI 48439

Phone

(810) 606-7125

Fax

(810) 606-1620

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Riad Dali-Ahmad, MDNPI 1124130539

Title

Doctor

Phone

(810) 606-7125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riad R Dali Ahmad, MD

  • Infectious Disease Physician
  • Grand Blanc, MI
  • NPI 1124130539
  Medicare reassignment Care Compare group NPD Authorized official
• Shilpaben K Patel

  • Family Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1417508417
  Medicare reassignment Care Compare group NPD
• Jacqueline Hourtienne, FNP-BC

  • Family Nurse Practitioner
  • Lapeer, MI
  • NPI 1699437566
  Medicare reassignment NPD
• Melissa Michelle Graham, PA

  • Physician Assistant
  • Novi, MI
  • NPI 1841320991
  Medicare reassignment

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760901003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD STE H",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-606-7125",
            "fax_number": "810-606-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "address_2": "SUITE H",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-606-7125",
            "fax_number": "810-606-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARK MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DALI-AHMAD",
        "authorized_official_first_name": "RIAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-606-7125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Renee Hayes, D.O.
• Jenna Hayes
• Linda Roseanne Hayes, COTAL
• Horace R Haynes Jr., DO
• Healing You Whole Wellness LLC
• Heather Wright M.D., P.C.
• Ravi G Hedni, M.D.
• Dreana Heidenreich
• Robyn Heiler
• Leona Heinrich

• Infectious Disease Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.