THOMAS R HARTZELL (NPI# 1619966256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619966256 |
| Entity Type | Individual |
| Full Name | THOMAS R HARTZELL |
| Credential | MD |
| Practice Address |
21000 E 12 Mile Rd Ste 102 Saint Clair Shores MI 48081-1156 |
| Practice Telephone | 8008480202 |
| Practice Fax Number | 5862266949 |
| Mailing Telephone | 8008480202 |
| Mailing Fax Number | 5862266949 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301052970 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
21000 E 12 MILE RD STE 102 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330486 | Jennifer Kay Appleyard | Allergy & Immunology | 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1116 | 2005-07-19 |
| 1881203479 | Andrew Michael Keltz | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2020-07-29 |
| 1770120230 | Holly Ann Reckers | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-12-04 |
| 1578037966 | Maria Juliana Codino | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-01-18 |
| 1942779921 | Maria D Samsa | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2018-11-19 |
| 1801331210 | Katja N Tandarich | Nurse Practitioner | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2016-12-21 |
| 1053854133 | Jean P. Skeffington | Speech-Language Pathologist | 21000 E 12 Mile Rd, Suite111, Saint Clair Shores, MI 48081-1116 | 2016-11-22 |
| 1134588254 | Alyssa Domenica Baker | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2016-02-17 |
| 1316350192 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2014-06-09 |
| 1720404775 | Sean Anthony Cassleman | Internal Medicine | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2014-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215148689 | Regina Frost | Obstetrics & Gynecology | 22050 Mack Ave, Saint Clair Shores, MI 48080-2388 | 2007-05-25 |
| 1346360229 | Joyce Catherine Purakal | Obstetrics & Gynecology | 21000 E 12 Mile Rd Ste 102, Saint Clair Shores, MI 48081-1156 | 2007-04-02 |
| 1396185708 | Rachel Mclaurin Matthews | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2013-06-29 |
| 1508099193 | Compassionate Womens Healthcare | Obstetrics & Gynecology | 22050 Greater Mack Ave, Saint Clair Shores, MI 48080-2388 | 2009-08-28 |
| 1205091071 | Abessinio Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 22811 Greater Mack Ave, Suite 106, Saint Clair Shores, MI 48080-2021 | 2008-07-22 |
| 1821256116 | Susan A. Radtke, M.d., P.C. | Obstetrics & Gynecology | 21321 Harper Ave, Suite A, Saint Clair Shores, MI 48080-2243 | 2008-05-23 |
| 1427125897 | Wontika R. Smith | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2006-11-29 |
| 1679657613 | Women To Women Health Center PC | Obstetrics & Gynecology | 23715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1181 | 2006-10-25 |
| 1164535886 | St Clair Shores Obstetrics and Gynecolgy, Plc | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2006-08-16 |
| 1033129630 | Suzanne M Millican | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2006-08-08 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
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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.