MILLENNIUM MEDICAL GROUP WEST PC (NPI# 1447352075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447352075 |
Entity Type | Organization |
Organization Name | MILLENNIUM MEDICAL GROUP WEST PC |
Other Organization Name | WESTLAND CLINIC |
Practice Address |
6149 N Wayne Rd Westland MI 48185-7128 |
Practice Telephone | 7347282130 |
Practice Fax Number | 7347282626 |
Mailing Telephone | 7347282130 |
Mailing Fax Number | 7347282626 |
Enumeration Date | 2006-09-03 |
Last Update Date | 2010-06-30 |
Authorized Official Name | DR. WILLIAM R SILVERSTONE (PRESIDENT) |
Authorized Official Telephone | 7347282130 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE SHIELD GROUP | 70 0H2 1915 0 | 01 |
Other Name | Type Code |
---|---|
WESTLAND CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215035910 | Millennium Medical Group West PC | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-20 |
1821196346 | Millennium Medical Group West PC | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-20 |
1326145855 | Millennium Medical Group West PC | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-19 |
1801998448 | Millennium Medical Group West PC | Internal Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-03 |
Street Address |
6149 N WAYNE RD |
City | WESTLAND |
State | MI |
Zip Code | 48185-7128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548246242 | Scott A Paxton | Family Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2005-12-15 |
1053926899 | Julia Mcaree | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-09-09 |
1700407210 | Alexandra Marie Rabban | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-05-06 |
1629699731 | Carine Rae Gustin | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7130 | 2020-04-29 |
1366815557 | Jodie Colman | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-11-10 |
1821477258 | Roselyne A Ogola-mwangale | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-05-18 |
1043559404 | Michigan Healthcare Professionals PC | Internal Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2013-02-05 |
1255676706 | Rebecca Lynne Szymaszek | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-12-10 |
1811257603 | Linda Minns | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-05-25 |
1023395993 | Rx Express Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6149 N Wayne Rd, Suite 1, Westland, MI 48185-7128 | 2011-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619248226 | Samer Homisha Md PC | Family Medicine | 7325 N Middlebelt Rd, Westland, MI 48185-2501 | 2012-01-13 |
1730463431 | Rite Away Group LLC | Family Medicine | 8181 N Wayne Rd, Westland, MI 48185-1328 | 2011-09-29 |
1881898336 | Paul G Thomas Do PC | Family Medicine | 8012 N Middlebelt Rd, Suite B, Westland, MI 48185-1808 | 2007-06-11 |
1124237219 | Andrea Maria Dutra Szuper | Family Medicine | Oakwood Healthcare Center Westland, 2001 S. Merriman Rd., Suite 100, Westland, MI 48186 | 2007-05-22 |
1578699807 | Adib Omar Abdolkarim | Family Medicine | 33000 Palmer Rd, Westland, MI 48186 | 2007-02-23 |
1043345374 | First Choice Medical Center P C | Family Medicine | 33000 Palmer Road, Westland, MI 48186 | 2007-02-23 |
1053479154 | Kenneth L. Colton | Family Medicine | 400 N Wayne Rd, Westland, MI 48185-3628 | 2006-12-04 |
1457450413 | Modini Chintha Liyanage | Family Medicine | 1203 S Wayne Rd, Westland, MI 48186-4362 | 2006-09-22 |
1831299700 | Raskin Clinical Associates, P.C. | Family Medicine | 35600 Central City Pkwy Ste 102, Westland, MI 48185-2046 | 2006-09-22 |
1902845613 | Jennifer R Winegarden | Family Medicine | 8012 Middlebelt Rd, Suite B, Westland, MI 48185 | 2006-06-06 |
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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.