BARBARA ANN KARMANOS CANCER INSTITUTE (NPI# 1386060226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386060226 |
| Entity Type | Organization |
| Organization Name | BARBARA ANN KARMANOS CANCER INSTITUTE |
| Practice Address |
4100 John R St Detroit MI 48201-2013 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 8005276266 |
| Practice Fax Number | 3135768381 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-21 |
| Authorized Official Name | TINA D STRASSBURG (VP, REVENUE CYCLE OPERATIONS) |
| Authorized Official Telephone | 3135768530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740275387 | Barbara Ann Karmanos Cancer Institute | Hospice Care, Community Based | 24601 Northwestern Hwy, Billing Dept., Southfield, MI 48075-2473 | 2005-09-20 |
| 1225022288 | Barbara Ann Karmanos Cancer Institute | Clinic/Center | 4100 John R Road, Detroit, MI 48201-1312 | 2005-09-07 |
| Street Address |
4100 JOHN R ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966316 | Cynthia Hilda Marsack | Nurse Practitioner | 4100 John R St, Karmanos Cancer Ctr Midlevels, Detroit, MI 48201-2013 | 2005-07-14 |
| 1467062950 | Amy Josephine Skotzke | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2020-08-09 |
| 1700421294 | Nicole Gonzalez | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2019-11-08 |
| 1881237485 | Joseph Charles Ellul | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2019-10-26 |
| 1841840113 | Thoracic Surgical Services, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4100 John R St, Detroit, MI 48201-2013 | 2019-09-18 |
| 1568016244 | Ellen Wong Dillard | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2019-07-30 |
| 1700340924 | Rita J Dibiase | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2019-01-23 |
| 1336634468 | Linsday Anne Cleveland | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2018-07-01 |
| 1407347214 | Diana Rudnev | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2018-05-29 |
| 1912408915 | Yaukpala Ina Gofan | Nurse Practitioner | 4100 John R St, Detroit, MI 48201-2013 | 2018-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171304 | Marc Vander Vliet | Internal Medicine | 2799 W. Grand Blvd, Clara Ford Pavilion--4th Floor, Detroit, MI 48202 | 2015-04-09 |
| 1841533031 | Elisheva Newman | Internal Medicine | 4100 John R St, Detroit, MI 48201-2013 | 2013-04-05 |
| 1275743700 | Gilbert Dagher Abou Dagher | Internal Medicine | 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 | 2007-05-23 |
| 1821212606 | Ltach Specialist PC | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-04-12 |
| 1538228879 | Leslie J. Bricker | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912592 | Hospice Advantage, LLC | Internal Medicine | 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 | 2020-11-02 |
| 1518573054 | Thi of Michigan At Detroit, LLC | Internal Medicine | 30665 Northwestern Hwy Ste 150, Farmington Hills, MI 48334-3146 | 2020-09-21 |
| 1639496466 | Palliative Care Medical Associates | Internal Medicine | 430 Union Ave Ne Apt 209, Grand Rapids, MI 49503-5747 | 2010-05-04 |
| 1578771770 | Helen Scoblic | Internal Medicine | 1426 Straits Dr, Bay City, MI 48706-8705 | 2007-05-19 |
| 1255439915 | Saeed I Bajwa | Internal Medicine | 5301 Mcauley Dr Ste 2119, Ypsilanti, MI 48197-1051 | 2006-09-20 |
| 1831186311 | Hospice At Home, Inc. | Internal Medicine | 4025 Health Park Lane, Saint Joseph, MI 49085 | 2005-09-30 |
| 1144878745 | Ascension St. Mary's Hospital | Internal Medicine | 4599 Towne Centre Rd, Saginaw, MI 48604-2804 | 2019-08-28 |
| 1033638077 | Northstar Palliative Care Inc | Internal Medicine | 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 | 2017-09-11 |
| 1457890618 | Tamber Townsend | Internal Medicine | 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 | 2017-02-20 |
| 1568900512 | Iha Health Services Corporation | Internal Medicine | 5301 Mcauley Dr, Suite 2199, Ypsilanti, MI 48197-1051 | 2017-02-09 |
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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.