ABRAHAM ISAIAS GOMEZ HERNANDEZ (NPI# 1174963045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174963045 |
| Entity Type | Individual |
| Full Name | ABRAHAM ISAIAS GOMEZ HERNANDEZ |
| Credential | M.D. |
| Practice Address |
29201 Telegraph Rd Ste 324 Southfield MI 48034-1331 |
| Practice Telephone | 2483575100 |
| Practice Fax Number | 2483572548 |
| Mailing Telephone | 2483575100 |
| Mailing Fax Number | 2483572548 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
29201 TELEGRAPH RD STE 324 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073504122 | David G Heidemann | Ophthalmology | 29201 Telegraph Rd, Suite 101, Southfield, MI 48034-1331 | 2005-10-28 |
| 1689184202 | Jihan Elise El-kurdi | Physical Therapy Assistant | 29201 Telegraph Rd, Southfield, MI 48034-1331 | 2017-10-10 |
| 1417400581 | Maggie Leonards | Audiologist | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-1331 | 2016-07-25 |
| 1265794739 | Michfoot Surgeons, P.C. | Podiatrist | 29201 Telegraph Rd, Suite 100, Southfield, MI 48034-1331 | 2012-06-11 |
| 1528333051 | Amy H. Rogers | Speech-Language Pathologist | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-1331 | 2012-03-16 |
| 1164756276 | Harry Hunter Jr. | Social Worker | 29201 Telegraph Rd, 550, Southfield, MI 48034-1331 | 2009-09-22 |
| 1013147586 | Chirag Gupta | Optometrist | 29201 Telegraph Rd, Suite # 101, Southfield, MI 48034-1331 | 2009-07-20 |
| 1811127376 | Elliott Michael Wolf | Psychiatry & Neurology | 29201 Telegraph Rd, Suite 600, Southfield, MI 48034-1331 | 2009-07-19 |
| 1306075551 | Phoenix Medical Group, P.C. | Internal Medicine | 29201 Telegraph Rd, 450, Southfield, MI 48034-1331 | 2009-07-09 |
| 1619123320 | Linda K Forsberg | Psychologist | 29201 Telegraph Rd, Suite600, Southfield, MI 48034-1331 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254401 | Lenora Jackson | Student in an Organized Health Care Education/Training Program | 16000 W 9 Mile Rd Ste 505, Southfield, MI 48075-4802 | 2020-01-26 |
| 1982266078 | Sugeetha Nithiananthan | Student in an Organized Health Care Education/Training Program | 22250 Providence, Suite 703a, Southfield, MI 48075-4818 | 2019-06-28 |
| 1215595228 | Harkirat Singh | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr Ste 703a, Southfield, MI 48075-6215 | 2019-06-04 |
| 1962067223 | Gavin Martin Taylor | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive Suite #557, Southfield, MI 48075-4818 | 2019-05-02 |
| 1609430297 | Kirti Dhingra | Student in an Organized Health Care Education/Training Program | 1600 W. 9 Mile Road, Suit # 416, Southfield, MI 48075-4818 | 2019-04-29 |
| 1649834854 | Jason Daniel Nosrati | Student in an Organized Health Care Education/Training Program | 16001 W 9 Mile Rd Ste 416, Southfield, MI 48075-4818 | 2019-04-24 |
| 1134783251 | Ayat Ghosn | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive Suite #301, Southfield, MI 48075-4818 | 2019-04-24 |
| 1154985356 | Muhammad Daniyal Burhan | Student in an Organized Health Care Education/Training Program | 16001 W. 9 Mile Road 2nd Floor Depaul, Southfield, MI 48075-4818 | 2019-04-24 |
| 1215490461 | Lynna Alnimer | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Academic Internal Medicine, Suite #301, Southfield, MI 48075-4818 | 2019-04-12 |
| 1811479462 | Damien Quarles | Student in an Organized Health Care Education/Training Program | 25381 Lois Ln, Southfield, MI 48075-1040 | 2018-08-30 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on ABRAHAM ISAIAS GOMEZ HERNANDEZ.
| 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.