DR. GREGORY DAVID HAZERGIAN (NPI# 1588923734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588923734 |
| Entity Type | Individual |
| Full Name | DR. GREGORY DAVID HAZERGIAN |
| Credential | D.O. |
| Practice Address |
40720 Ann Arbor Rd E Plymouth MI 48170-4447 |
| Mailing Address |
28050 Grand River Ave Farmington Hills MI 48336-5919 |
| Practice Telephone | 7344141376 |
| Mailing Telephone | 2484718000 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101019695 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
40720 ANN ARBOR RD E |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164087474 | Ask Wellness, LLC | Internal Medicine | 118 Long Pond Rd Ste 101, Plymouth, MA 02360-2662 | 2019-05-02 |
| 1306183215 | Russell J Tonkin | Internal Medicine | 131 Windy Ln, Plymouth, VT 05056-4416 | 2013-01-11 |
| 1124331426 | Stephen Andrew Antonucci | Internal Medicine | 46347 Academy Dr, Plymouth, MI 48170-3519 | 2010-07-15 |
| 1871738997 | Rabia Bashir Khan | Internal Medicine | 15535 34th Ave N Ste 100, Plymouth, MN 55447-2170 | 2008-12-03 |
| 1427215433 | Brian Richard Miller | Internal Medicine | 4500 Lanewood Ln N, Plymouth, MN 55446-3432 | 2008-05-19 |
| 1184895849 | Mario De Meireles Md Mhsa PC | Internal Medicine | 9260 Fellows Creek Dr, Plymouth, MI 48170-6354 | 2008-03-20 |
| 1225252786 | William S George | Internal Medicine | 50 Bay Shore Dr, Plymouth, MA 02360-2006 | 2007-04-13 |
| 1124110556 | Stephanie L Marglin | Internal Medicine | 10 Cordage Park Cir Ste 201, Plymouth, MA 02360-7318 | 2006-09-30 |
| 1003843202 | Gregory Joseph Robke | Internal Medicine | 45 Resnik Road, Suite 302, Plymouth, MA 02360 | 2006-06-26 |
| 1407894090 | Gohar Ghazarian | Internal Medicine | 25f Spring St, Plymouth, OH 44865-1230 | 2006-06-03 |
| Find all providers in PLYMOUTH | ||||
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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.