MAZEN HAMAMEH DO PC (NPI# 1275825770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275825770 |
| Entity Type | Organization |
| Organization Name | MAZEN HAMAMEH DO PC |
| Practice Address |
5831 Whitefield Dearborn Heights MI 48127 |
| Practice Telephone | 7348396610 |
| Practice Fax Number | 7348396611 |
| Mailing Telephone | 7348396610 |
| Mailing Fax Number | 7348396611 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |
| Authorized Official Name | DR. MAZEN N HAMAMEH (MEDICAL PROVIDER) |
| Authorized Official Telephone | 7348396610 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
5101016795 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1215142153 | 01 |
| MI | 1215142153 | 05 | |
| MI | COMMERICAL | 1215142153 | 01 |
| MI | BLUE CARE NETWORK | 1215142153 | 01 |
| Street Address |
5831 WHITEFIELD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518185826 | River Oaks Pediatrics | Pediatrics | 20211 Ann Arbor Trl, Dearborn Heights, MI 48127-2691 | 2007-04-23 |
| 1548205347 | Naseeb Bishara Hamameh | Pediatrics | 22350 Ford Rd, Dearborn Heights, MI 48127-2421 | 2006-06-17 |
| 1144305533 | Mcford Pediatrics Plc | Pediatrics | 22350 Ford Rd, Dearborn Heights, MI 48127-2421 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
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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.