GREGORY M OLDFORD (NPI# 1376508762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376508762 |
Entity Type | Individual |
Full Name | GREGORY M OLDFORD |
Credential | MD |
Practice Address |
2300 Haggerty Rd Suite 2000 West Bloomfield MI 48323-2184 |
Mailing Address |
20952 E 12 Mile Rd Suite 200 St Clair Shores MI 48081-3200 |
Practice Telephone | 2486249900 |
Practice Fax Number | 2488965450 |
Mailing Telephone | 5867714820 |
Mailing Fax Number | 5867716620 |
Enumeration Date | 2006-04-19 |
Last Update Date | 2018-01-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 4301051913 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | CIGNA | 6906739004 | 01 |
MI | PRIORITY HEALTH | 126231 | 01 |
MI | HEALTH PLUS | 0991057 | 01 |
MI | AETNA | 4338197 | 01 |
MI | HAP | F31980 | 01 |
MI | RAILROAD MEDICARE | 340019049 | 01 |
Street Address |
2300 HAGGERTY RD SUITE 2000 |
City | WEST BLOOMFIELD |
State | MI |
Zip Code | 48323-2184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033744164 | Ann Timm | Registered Nurse | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2020-03-09 |
1356817688 | Courtney Peper | Nurse Practitioner | 2300 Haggerty Rd, West Bloomfield, MI 48323 | 2018-10-14 |
1124521711 | Justin Joshua Smith | Physician Assistant | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2018-03-09 |
1841682432 | Team Rehabilitation Hg, LLC | Physical Therapist | 2300 Haggerty Rd, Suite 2020, West Bloomfield, MI 48323-2184 | 2015-02-19 |
1861819161 | Michigan Interventional Pain Associates Pllc | Pain Medicine | 2300 Haggerty Rd, Suite 2100, West Bloomfield, MI 48323-2184 | 2014-03-25 |
1740619121 | Lakes Psychiatric Center, Pllc | Psychiatry & Neurology | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-11-05 |
1760828198 | Abaris Health | Psychologist | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-05-13 |
1629329933 | Amy Noble Isenberg | Dentist | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2012-09-26 |
1902157498 | Vhs Physicians of Michigan | Internal Medicine | 2300 Haggerty Rd, Suite 2120, West Bloomfield, MI 48323-2184 | 2012-09-25 |
1649545955 | Dorene K Hardie-goo | Nurse Practitioner | 2300 Haggerty Rd, Suite 2010, West Bloomfield, MI 48323-2184 | 2012-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
Find all providers in zip 48323 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194807693 | Michigan Institute of Urology PC | Urology | 6900 Orchard Lake Road, Suite 101, West Bloomfield, MI 48322-3424 | 2006-10-20 |
1215919048 | James D Relle | Urology | 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 | 2005-11-17 |
1679913958 | Johar Raza Syed | Urology | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2013-07-01 |
1255483277 | Jason M Hafron | Urology | 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 | 2007-01-18 |
1801978309 | Michigan Institute of Urology PC | Urology | 2300 Haggerty Road, Suite 2000, West Bloomfield, MI 48323-2102 | 2006-10-20 |
1487619458 | Mitchell B Hollander | Urology | 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 | 2006-04-20 |
1558326926 | Jennifer L Sobol | Urology | 2300 Haggerty Rd, Suite 2000, West Bloomfield, MI 48323-2184 | 2006-04-19 |
1831171669 | Brian D Seifman | Urology | 6900 Orchard Lake Rd Ste 300, West Bloomfield, MI 48322-3405 | 2005-11-17 |
1437158862 | Stephen A Liroff | Urology | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
Find all providers with the same taxonomy |
City | WEST BLOOMFIELD |
Zip Code | 48323 |
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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.