DR. FADY MOUSTARAH (NPI# 1134355399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134355399 |
Entity Type | Individual |
Full Name | DR. FADY MOUSTARAH |
Credential | M.D., M.P.H. |
Practice Address |
43494 Woodward Ave Ste 202 Bloomfield Hills MI 48302-5054 |
Mailing Address |
Po Box 724 Dearborn MI 48121-0724 |
Practice Telephone | 2483345444 |
Mailing Telephone | 9899804995 |
Enumeration Date | 2009-06-02 |
Last Update Date | 2020-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 4301108768 | MI | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 35. 092350 | OH | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
9500 Euclid Ave, M61, Cleveland, OH 441950001 | 2164449244 | 2164451586 |
Street Address |
43494 WOODWARD AVE STE 202 |
City | BLOOMFIELD HILLS |
State | MI |
Zip Code | 48302-5054 |
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 | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679816821 | Ram Narain Agrawal | Surgery | 2045 Wabeek Hill Ct, Care Dr.s. Khaneja, Bloomfield Hills, MI 48302-1657 | 2013-04-05 |
1962790246 | Joseph Alan Paulisin | Surgery | 3514 Darcy Dr, Bloomfield Hills, MI 48301-2123 | 2011-07-20 |
1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
1962684506 | Sheldon Schwartz | Surgery | 4933 Malibu Dr, Bloomfield Hills, MI 48302-2254 | 2007-12-05 |
1528277597 | Julie Trang Sofer | Surgery | 536 Whitehall Rd, Bloomfield Hills, MI 48304-2349 | 2007-05-22 |
1689768541 | Thomas James Przybylski | Surgery | 1574 Indianwood Ct, Bloomfield Hills, MI 48302-0729 | 2006-10-03 |
1689694929 | Yash P Lakra | Surgery | 4129 Golf Ridge Dr E, Bloomfield Hills, MI 48302-1728 | 2006-07-20 |
1801874672 | Victoria Gallardo-navarra | Surgery | 2898 Colonial Trl, Bloomfield Hills, MI 48304-1618 | 2006-01-03 |
1598759243 | Edward J Treisman | Surgery | 3857 Lakeland Ln, Bloomfield Hills, MI 48302-1328 | 2005-09-08 |
Find all providers in BLOOMFIELD HILLS |
City | BLOOMFIELD HILLS |
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.