DR. KENNETH B GALLMORE II (NPI# 1124004817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124004817 |
| Entity Type | Individual |
| Full Name | DR. KENNETH B GALLMORE II |
| Credential | D.O. |
| Practice Address |
6149 N Wayne Rd Westland MI 48185-7128 |
| Practice Telephone | 7347284141 |
| Practice Fax Number | 7347282626 |
| Mailing Telephone | 7347284141 |
| Mailing Fax Number | 7347282626 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101013600 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD | 700H219150 | 01 |
| MI | BLUE SHIELD | 700F314390 | 01 |
| MI | 1124004817 | 05 |
| Street Address |
6149 N WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548246242 | Scott A Paxton | Family Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2005-12-15 |
| 1053926899 | Julia Mcaree | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-09-09 |
| 1700407210 | Alexandra Marie Rabban | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-05-06 |
| 1629699731 | Carine Rae Gustin | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7130 | 2020-04-29 |
| 1366815557 | Jodie Colman | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-11-10 |
| 1821477258 | Roselyne A Ogola-mwangale | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-05-18 |
| 1043559404 | Michigan Healthcare Professionals PC | Internal Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2013-02-05 |
| 1255676706 | Rebecca Lynne Szymaszek | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-12-10 |
| 1811257603 | Linda Minns | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-05-25 |
| 1023395993 | Rx Express Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6149 N Wayne Rd, Suite 1, Westland, MI 48185-7128 | 2011-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| Find all providers in zip 48185 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174765515 | Elite Wellness LLC | Internal Medicine | 33018 Warren Rd, Westland, MI 48185-2946 | 2009-03-31 |
| 1386816460 | Sudha R Patel Md PC | Internal Medicine | 34210 Glenwood Ave., Westland, MI 48186-5439 | 2008-03-28 |
| 1023202553 | Harpreet Sagar | Internal Medicine | 1633 S Wayne Rd, Westland, MI 48186-5435 | 2007-08-28 |
| 1164627931 | Jehangir N Rao, M.d., P.C. | Internal Medicine | 35180 Nankin Blvd Ste 200, Westland, MI 48185-2092 | 2007-06-20 |
| 1639391808 | Prime Garden City Medical Group | Internal Medicine | 8012 Middlebelt Road, Westland, MI 48185 | 2007-05-03 |
| 1144355934 | Amal Moustafa Omran | Internal Medicine | 35600 Central City Pkwy Ste 103, Westland, MI 48185-2046 | 2007-02-22 |
| 1700970506 | Manal Hikmat Salem | Internal Medicine | 315 S Wayne Rd, Westland, MI 48186-4301 | 2006-10-03 |
| 1275638231 | Mahir Matti | Internal Medicine | 769 S Wayne Rd, Westland, MI 48186-4364 | 2006-09-14 |
| 1386746725 | Elise Murray | Internal Medicine | 33611 Warren Rd, Westland, MI 48185-2787 | 2006-09-05 |
| 1912932815 | Bala A Setty | Internal Medicine | 33116 Palmer Rd, D, Westland, MI 48186-5524 | 2006-07-11 |
| Find all providers in WESTLAND | ||||
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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.