METRO WOMENS HEALTH PLLC (NPI# 1093145377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093145377 |
| Entity Type | Organization |
| Organization Name | METRO WOMENS HEALTH PLLC |
| Practice Address |
4727 Saint Antoine St Suite 304 Detroit MI 48201-1461 |
| Mailing Address |
7148 Reliable Pkwy Chicago IL 60686-0071 |
| Practice Telephone | 3137450499 |
| Practice Fax Number | 3138338801 |
| Mailing Telephone | 8107205715 |
| Mailing Fax Number | 8107320891 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | DAVID C KMAK (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3137450499 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Street Address |
4727 SAINT ANTOINE ST SUITE 304 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773091 | Jeffrey Gillum | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 210, Detroit, MI 48201-1461 | 2005-10-11 |
| 1083146906 | S Madani Md PC | Pediatrics | 4727 Saint Antoine St, Suite 402, Detroit, MI 48201-1461 | 2017-03-30 |
| 1750737821 | Selice Jenae Zooper | Dental Hygienist | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-05-09 |
| 1275989352 | Mya Weeks | Dental Hygienist | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-05-09 |
| 1386098663 | Lucas Perry Dental Group | Clinic/Center | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2016-04-22 |
| 1558769836 | Global Health Ipa | Family Medicine | 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 | 2014-12-18 |
| 1265841977 | Latonya Waller | Dentist | 4727 Saint Antoine St, Detroit, MI 48201-1461 | 2014-08-06 |
| 1902213689 | Hutzel Womens Health Specialists | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 | 2014-07-15 |
| 1093134348 | Jackson Health Services | Family Medicine | 4727 Saint Antoine St, Ste 202, Detroit, MI 48201-1461 | 2014-04-15 |
| 1558794594 | Bobbi Rae Emmons | Dental Hygienist | 4727 Saint Antoine St, Suite 408, Detroit, MI 48201-1461 | 2013-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902213689 | Hutzel Womens Health Specialists | Obstetrics & Gynecology | 4727 Saint Antoine St, Suite 304, Detroit, MI 48201-1461 | 2014-07-15 |
| 1821351396 | Regina Dupe Nagy | Obstetrics & Gynecology | 4201 St Antoine, Ste 4c, Detroit, MI 48201-2153 | 2012-06-20 |
| 1093916082 | Ramona Dana Andrei | Obstetrics & Gynecology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-29 |
| 1407067416 | Fadia Ali Altairy | Obstetrics & Gynecology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-24 |
| 1497979306 | Jerome Edward Feldstein | Obstetrics & Gynecology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-04-12 |
| 1881746980 | Leslie Danley | Obstetrics & Gynecology | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260754 | Kelly Jo Aguilera | Obstetrics & Gynecology | 3985 E Brooks Rd, Freeland, MI 48623-9436 | 2019-11-19 |
| 1598089542 | Mansion Street Womens Health Pllc | Obstetrics & Gynecology | 215 E Mansion St., Suite 3d, Marshall, MI 49068 | 2010-03-19 |
| 1285888347 | Shalom Mazaki-tovi | Obstetrics & Gynecology | 5858 Fineway Ct, West Bloomfield, MI 48322-1383 | 2008-11-15 |
| 1407051410 | Jane J Jawahir Md PC | Obstetrics & Gynecology | 3181 Prairie St Sw Ste 112, Grandville, MI 49418-2076 | 2007-06-19 |
| 1831300219 | Urological Solutions of Michigan, Plc | Obstetrics & Gynecology | 7110 Stadium Drive, Kalamazoo, MI 49009-9423 | 2007-05-25 |
| 1134339518 | Karen Lynn Plymel | Obstetrics & Gynecology | 25080 Michigan, Dearborn, MI 48124-1740 | 2007-05-23 |
| 1063622454 | Anupama Vansadia | Obstetrics & Gynecology | 6700 N Rochester Rd Ste 210, Rochester Hills, MI 48306-4378 | 2007-05-23 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1326257148 | Medical Resource Group | Obstetrics & Gynecology | 15990 W 9 Mile Rd, Southfield, MI 48075-4826 | 2007-05-21 |
| 1649394347 | Birth Control Center | Obstetrics & Gynecology | 2783 E 14 Mile Rd, Sterling Heights, MI 48310-5962 | 2007-03-19 |
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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.