DR. RICHARD MENCZER (NPI# 1104180900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104180900 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MENCZER |
| Credential | M.D. |
| Practice Address |
1995 Tuckaway Dr Bloomfield MI 48302-1779 |
| Practice Telephone | 2487372286 |
| Practice Fax Number | 2487372287 |
| Mailing Telephone | 2487372286 |
| Mailing Fax Number | 2487372287 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301024626 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1995 TUCKAWAY DR |
| City | BLOOMFIELD |
| State | MI |
| Zip Code | 48302-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083978597 | Sarah Lynn Shook | Obstetrics & Gynecology | 1742 S Hill Blvd, Bloomfield, MI 48304-1136 | 2012-06-28 |
| 1477718047 | Benson J. Horowitz | Obstetrics & Gynecology | 10 S Ridge Dr, Bloomfield, CT 06002-5009 | 2008-07-23 |
| 1285735118 | Kevin R. Woodson | Obstetrics & Gynecology | 6 Bloomfield Ave, Bloomfield, NJ 07003-5905 | 2006-09-25 |
| 1942223169 | Jane P Srinivasan | Obstetrics & Gynecology | 24 Seneca Rd, Bloomfield, CT 06002 | 2006-07-26 |
| 1679536361 | Decca Mohammed | Obstetrics & Gynecology | 135 Bloomfield Ave Suite C, Bloomfield, NJ 07003 | 2006-04-11 |
| 1205834363 | Raul Mendelovici | Obstetrics & Gynecology | 580 Cottage Grove Rd, Suite 205, Bloomfield, CT 06002-3088 | 2005-07-13 |
| 1992091573 | Mounzer Yacoub | Obstetrics & Gynecology | 399 Hoover Ave, Suite #1, Bloomfield, NJ 07003 | 2011-06-22 |
| 1336313113 | Premier Ob/gyn LLC | Obstetrics & Gynecology | 135 Bloomfield Ave, Suite L, Bloomfield, NJ 07003-5902 | 2008-04-14 |
| 1356350789 | Henry Eli Jacobs | Obstetrics & Gynecology | 1 Northwestern Dr, Suite 202, Bloomfield, CT 06002-3400 | 2006-08-05 |
| 1730133281 | Usha Ram | Obstetrics & Gynecology | 1750 S Telegraph Rd, Suite 108, Bloomfield, MI 48302-0166 | 2006-05-20 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 48302 |
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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.