MICHELLE NGUYEN (NPI# 1013371913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013371913 |
| Entity Type | Individual |
| Full Name | MICHELLE NGUYEN |
| Other Name | MICHELLE DUTKIN |
| Credential | MD |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Practice Telephone | 3132079651 |
| Mailing Telephone | 3132079651 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | 4301502648 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
4301502648 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9000 Franklin Square Dr, Department of Family Medicine, Baltimore, MD 212373901 | 4437772034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192692 | Michelle Nguyen | Dentist | 1457 Summerhill Dr, Carrollton, TX 75007-6049 | 2020-07-27 |
| 1295358083 | Michelle Thu Nguyen | Dentist | 1996 Doug's Park Rd., Camp Verde, AZ 86322 | 2020-05-27 |
| 1063034023 | Michelle Nguyen | Student in an Organized Health Care Education/Training Program | 213 W Miami Ave, Cherry Hill, NJ 08002-2540 | 2020-05-13 |
| 1073144671 | Michelle Yen Nguyen | Dental Hygienist | 15280 Se Baron Loop, Happy Valley, OR 97086-4468 | 2020-02-01 |
| 1982256855 | Michelle Nguyen | Registered Nurse | 2110 Harrisburg Pike Ste 327, Lancaster, PA 17601-2644 | 2019-07-11 |
| 1417430539 | Michelle H.t Nguyen | Pharmacist | 421 N Brookhurst St Ste 123, Anaheim, CA 92801-5618 | 2018-09-13 |
| 1962997858 | Michelle Nicole Nguyen | Pediatrics | 1329 Sw 16th St Rm 4160, Gainesville, FL 32608-1128 | 2018-06-25 |
| 1164942017 | Michelle Nguyen | Optometrist | 39201 Fremont Blvd, Fremont, CA 94538-1301 | 2017-06-21 |
| 1457806168 | Michelle Kim Nguyen | Dentist | 9353 Bolsa Ave # L62, Westminster, CA 92683-5951 | 2016-08-23 |
| 1144684911 | Michelle Kim Nguyen | Pharmacist | 3891 Marlette Dr, San Jose, CA 95121-2628 | 2016-04-07 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171304 | Marc Vander Vliet | Internal Medicine | 2799 W. Grand Blvd, Clara Ford Pavilion--4th Floor, Detroit, MI 48202 | 2015-04-09 |
| 1386060226 | Barbara Ann Karmanos Cancer Institute | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2014-03-17 |
| 1841533031 | Elisheva Newman | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2013-04-05 |
| 1275743700 | Gilbert Dagher Abou Dagher | Internal Medicine | 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | 2007-05-23 |
| 1821212606 | Ltach Specialist PC | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-04-12 |
| 1538228879 | Leslie J. Bricker | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912592 | Hospice Advantage, LLC | Internal Medicine | 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 | 2020-11-02 |
| 1518573054 | Thi of Michigan At Detroit, LLC | Internal Medicine | 30665 Northwestern Hwy Ste 150, Farmington Hills, MI 48334-3146 | 2020-09-21 |
| 1639496466 | Palliative Care Medical Associates | Internal Medicine | 430 Union Ave Ne Apt 209, Grand Rapids, MI 49503-5747 | 2010-05-04 |
| 1578771770 | Helen Scoblic | Internal Medicine | 1426 Straits Dr, Bay City, MI 48706-8705 | 2007-05-19 |
| 1255439915 | Saeed I Bajwa | Internal Medicine | 5301 Mcauley Dr Ste 2119, Ypsilanti, MI 48197-1051 | 2006-09-20 |
| 1831186311 | Hospice At Home, Inc. | Internal Medicine | 4025 Health Park Lane, Saint Joseph, MI 49085 | 2005-09-30 |
| 1144878745 | Ascension St. Mary's Hospital | Internal Medicine | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2019-08-28 |
| 1033638077 | Northstar Palliative Care Inc | Internal Medicine | 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | 2017-09-11 |
| 1457890618 | Tamber Townsend | Internal Medicine | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 | 2017-02-20 |
| 1568900512 | Iha Health Services Corporation | Internal Medicine | 5301 Mcauley Dr, Suite 2199, Ypsilanti, MI 48197-1051 | 2017-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.