DORENE K HARDIE-GOO (NPI# 1649545955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649545955 |
| Entity Type | Individual |
| Full Name | DORENE K HARDIE-GOO |
| Credential | NP |
| Practice Address |
2300 Haggerty Rd Suite 2010 West Bloomfield MI 48323-2184 |
| Practice Telephone | 2489269660 |
| Practice Fax Number | 2489269927 |
| Mailing Telephone | 2489269660 |
| Mailing Fax Number | 2489269927 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704170671 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 HAGGERTY RD SUITE 2010 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744164 | Ann Timm | Registered Nurse | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2020-03-09 |
| 1356817688 | Courtney Peper | Nurse Practitioner | 2300 Haggerty Rd, West Bloomfield, MI 48323 | 2018-10-14 |
| 1124521711 | Justin Joshua Smith | Physician Assistant | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2018-03-09 |
| 1841682432 | Team Rehabilitation Hg, LLC | Physical Therapist | 2300 Haggerty Rd, Suite 2020, West Bloomfield, MI 48323-2184 | 2015-02-19 |
| 1861819161 | Michigan Interventional Pain Associates Pllc | Pain Medicine | 2300 Haggerty Rd, Suite 2100, West Bloomfield, MI 48323-2184 | 2014-03-25 |
| 1740619121 | Lakes Psychiatric Center, Pllc | Psychiatry & Neurology | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-11-05 |
| 1760828198 | Abaris Health | Psychologist | 2300 Haggerty Rd, Suite 2160, West Bloomfield, MI 48323-2184 | 2013-05-13 |
| 1629329933 | Amy Noble Isenberg | Dentist | 2300 Haggerty Rd, West Bloomfield, MI 48323-2184 | 2012-09-26 |
| 1902157498 | Vhs Physicians of Michigan | Internal Medicine | 2300 Haggerty Rd, Suite 2120, West Bloomfield, MI 48323-2184 | 2012-09-25 |
| 1801164876 | Oakland Rehabilitation Associates Pllc | Physical Medicine & Rehabilitation | 2300 Haggerty Rd, Suite 2130, West Bloomfield, MI 48323-2184 | 2011-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356781041 | Regina Renee Johnson | Nurse Practitioner | 4301 Orchard Lake Rd Ste 180, West Bloomfield, MI 48323-1684 | 2013-06-27 |
| 1497091631 | Sandy Farida | Nurse Practitioner | 6814 Cottonwood Knl, West Bloomfield, MI 48322-3846 | 2012-12-17 |
| 1043201288 | Dorota Meller Klenk | Nurse Practitioner | 6777 W. Maple Rd, Dept of Surgery, West Bloomfield, MI 48322 | 2005-11-04 |
| 1427692607 | Jenna E Buchman | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-10-31 |
| 1679135123 | Justina A Nzums | Nurse Practitioner | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-07-05 |
| 1497218838 | Monica Branam | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-04-11 |
| 1942787668 | Natalie Dumais | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322 | 2018-07-25 |
| 1346736568 | Gail S Elder-battle | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-07-11 |
| 1932690120 | Sarah Nicole Roberts | Nurse Practitioner | 6900 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3424 | 2018-05-23 |
| 1629575428 | Madeline Virginia Teresa Robinson | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2018-04-09 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
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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.