ELIZABETH GAIL BLUNDEN (NPI# 1134129588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134129588 |
| Entity Type | Individual |
| Full Name | ELIZABETH GAIL BLUNDEN |
| Credential | MD |
| Practice Address |
21400 E 11 Mile Rd St Clair Shores MI 48081-1502 |
| Mailing Address |
Department 771036 P.o. Box 77000 Detroit MI 48277-0001 |
| Practice Telephone | 5864984400 |
| Practice Fax Number | 5864984440 |
| Mailing Telephone | 5864474171 |
| Mailing Fax Number | 5864474180 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301059826 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4599143-10 | 05 |
| Street Address |
21400 E 11 MILE RD |
| City | ST CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953488 | Beaumont Pharmacy and Health Services Inc | Pharmacy | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-09-26 |
| 1912908245 | Kathleen M Rollinger | Family Medicine | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-08-09 |
| 1871594135 | Carl Anthony Rasimas | Family Medicine | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-08-09 |
| 1861493124 | Nabil Kamal Rizk | Family Medicine | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| 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 |
|---|---|---|---|---|
| 1558354159 | Constantine Raphtis | Obstetrics & Gynecology | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 | 2005-08-30 |
| 1134106024 | Nathan S. White | Obstetrics & Gynecology | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 | 2005-12-30 |
| 1336130723 | Manuela B O'campo | Obstetrics & Gynecology | 21000 E 12 Mile Rd, 102, St Clair Shores, MI 48081-1116 | 2005-11-03 |
| 1114917077 | Ann R Mcreynolds | Obstetrics & Gynecology | 21000 E 12 Mile Rd, 102, St Clair Shores, MI 48081-1116 | 2005-10-24 |
| 1902895014 | Jennifer Kuzel | Obstetrics & Gynecology | 21000 E 12 Mile Rd, 102, St Clair Shores, MI 48081-1116 | 2005-10-20 |
| 1922096700 | Veena B Chari Hedni | Obstetrics & Gynecology | 21000 E 12 Mile Rd, 102, St Clair Shores, MI 48081-1116 | 2005-10-06 |
| 1982697454 | Kami Michele Kveton | Obstetrics & Gynecology | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 | 2005-08-30 |
| 1932192424 | Graciano Figueras Singson | Obstetrics & Gynecology | 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | ST CLAIR SHORES |
| Zip Code | 48081 |
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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.