MICHAEL D BORK (NPI# 1659342152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659342152 |
| Entity Type | Individual |
| Full Name | MICHAEL D BORK |
| Credential | DO |
| Practice Address |
2333 Biddle Ave Wyandotte MI 48192-4668 |
| Mailing Address |
1640 Fort Street Suite D Attn Denise Trenton MI 48183 |
| Practice Telephone | 7342468895 |
| Practice Fax Number | 7343243404 |
| Mailing Telephone | 7343913057 |
| Mailing Fax Number | 7343913052 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 5101010520 | MI | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
5101010520 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX ID | 382791823 | 01 |
| MI | UPIN | F67493 | 01 |
| MI | BLUE CROSS | 0H24657 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013576610 | Michael A. Bork | Student in an Organized Health Care Education/Training Program | Wbamc/gme/ty, 5005 N. Piedras St., El Paso, TX 79920-5001 | 2019-06-07 |
| Street Address |
2333 BIDDLE AVE |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477246 | Samra Khurshid | Internal Medicine | 2333 Biddle Ave, Henry Ford Wyandotte, Wyandotte, MI 48192 | 2005-06-20 |
| 1700404043 | Madelyn Marie Stover | Registered Nurse | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-07-13 |
| 1114547429 | Elizabeth Ann Miller | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-17 |
| 1548889108 | Harini Vijay | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-14 |
| 1659990679 | Torrey Brooke Halbert | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-09 |
| 1306475561 | Mohammad Umar Khan | Podiatrist | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-08 |
| 1780213959 | Macklin Loveland | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-08 |
| 1649809989 | Ann-sophie Van Backle | Obstetrics & Gynecology | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-08 |
| 1346879244 | Zachary Ryan Mauro | Emergency Medicine | 2333 Biddle Ave, Medical Education Department, Wyandotte, MI 48192 | 2020-04-03 |
| 1194354993 | Jack Avedikian | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1669854816 | Spectrum Health Primary Care Partners | Obstetrics & Gynecology | 4249 Parkway Place Dr Sw, Grandville, MI 49418-2679 | 2015-06-24 |
| 1588840573 | Silvio Aladjem | Obstetrics & Gynecology | 1655 W State Rd, Hastings, MI 49058-8557 | 2008-01-21 |
| 1659572329 | Erhard Herwig Marz | Obstetrics & Gynecology | 1767 S M 52, Owosso, MI 48867-9201 | 2007-05-30 |
| 1487694949 | Susan Berman | Obstetrics & Gynecology | 4201 St Antoine Ste 4e&f, University Health Center, Detroit, MI 48201 | 2006-06-06 |
| 1164469680 | Bernard Gonik | Obstetrics & Gynecology | Sinai Grace Hospital-atenatal Diagnostic Unit, 6071 W Outer Dr, Detroit, MI 48235 | 2006-06-01 |
| 1285685503 | Sara H Garmel | Obstetrics & Gynecology | 2142 Monroe St Ste 100, Dearborn, MI 48124-3057 | 2006-05-12 |
| 1619926185 | Susan J. Sherman | Obstetrics & Gynecology | 43077 Brookstone Dr, Novi, MI 48377-2714 | 2006-05-10 |
| 1083663983 | Gregory L Goyert | Obstetrics & Gynecology | 3301 W Grand St, 8th Floor, Detroit, MI 48238-2793 | 2006-05-08 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1861470296 | Mark E Redman | Obstetrics & Gynecology | 17400 W 13 Mile Rd, Beverly Hills, MI 48025-5439 | 2006-01-05 |
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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.