BEAUMONT HEALTH (NPI# 1497290456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497290456 |
| Entity Type | Organization |
| Organization Name | BEAUMONT HEALTH |
| Practice Address |
15777 Northline Southgate MI 48195 |
| Mailing Address |
17801 Snow Dearborn MI 48124 |
| Practice Telephone | 3135707906 |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | DIANE PEARL (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3135707906 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4704208352 | MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275035271 | Beaumont Health | Rehabilitation Hospital | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2018-03-06 |
| 1174904601 | Beaumont Health | Clinic/Center | 3601 W 13 Mile Rd, 111 Mob, Ste. 329, Royal Oak, MI 48073-6712 | 2015-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BEAUMONT HEALTH CARE CLINIC | 4445 Ne Fremont, Portland, OR 97213 |
| New York State Corporations | BEAUMONT HEALTH CORPORATION | 28 Liberty Street, New York, Ny 10005 |
| System for Award Management (SAM) Entities | BEAUMONT HEALTH FOUNDATION | 3711 W Thirteen Mile Rd, Royal Oak, MI 48073-6767 |
| System for Award Management (SAM) Entities | BEAUMONT HEALTH SYSTEM | 3601 W. Thirteen Mile Rd, Royal Oak, MI 48073-6712 |
| Street Address |
15777 NORTHLINE |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| 1487024303 | Pinnacle Pulmonary Strategies LLC | Respiratory Therapist, Certified | 16125 Dix Toledo Road, Southgate, MI 48195 | 2015-10-05 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760806954 | Roberts Chiropractic Life Center | Clinic/Center | 13301 Reeck Ct, Southgate, MI 48195-3054 | 2014-02-10 |
| 1780832220 | Theramatrix, Inc | Clinic/Center | 12855 Dix Toledo Rd, Southgate, MI 48195-1744 | 2008-09-08 |
| 1588702690 | Southgate Medical Clinic PC | Clinic/Center | 13819 Trenton Rd, Southgate, MI 48195-1830 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
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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.