NORTHVILLE OBGYN PC (NPI# 1659677946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659677946 |
| Entity Type | Organization |
| Organization Name | NORTHVILLE OBGYN PC |
| Practice Address |
47311 Five Mile Rd Plymouth MI 48170-3768 |
| Practice Telephone | 7344461045 |
| Practice Fax Number | 7349819028 |
| Mailing Telephone | 7344461045 |
| Mailing Fax Number | 7349819028 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | JYOTHI R NICHANAMETLA (OWNER) |
| Authorized Official Telephone | 7344461045 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MI | Allopathic & Osteopathic Physicians |
| Street Address |
47311 FIVE MILE RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194930214 | Dennis W Kabaczy | Physician Assistant | 47311 Five Mile Rd, Plymouth, MI 48170-3768 | 2007-05-11 |
| 1942715354 | Mahmoud M Alshami Md Pllc | Internal Medicine | 47311 Five Mile Rd, Plymouth, MI 48170-3768 | 2017-12-07 |
| 1740714971 | Mahmoud M Alshami | Internal Medicine | 47311 Five Mile Rd, Plymouth, MI 48170-3768 | 2017-04-14 |
| 1386832012 | Northville Urgent Care P.C. | Emergency Medicine | 47311 Five Mile Rd, Plymouth, MI 48170-3768 | 2007-10-09 |
| 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 | 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 |
|---|---|---|---|---|
| 1083056873 | Jordan Physician Associates, Inc | Obstetrics & Gynecology | 46 Obery Street, Plymouth, MA 02360 | 2013-07-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376686832 | Sanford E Leslie | Obstetrics & Gynecology | 147 Court St, Plymouth, MA 02360-3807 | 2007-02-15 |
| 1114083045 | Joel J Baron | Obstetrics & Gynecology | 2 Driftwood Ln, Plymouth, MA 02360-2094 | 2006-12-28 |
| 1275693772 | Deborah S Wooten-angelo | Obstetrics & Gynecology | 101 Court St, 4th Floor Unit 8, Plymouth, MA 02360-8718 | 2006-12-12 |
| 1598785073 | Bora Ozguler | Obstetrics & Gynecology | 16510 Pretty Lake Rd, Suite 106, Plymouth, IN 46563-8264 | 2006-07-20 |
| 1508817891 | Juliann Corsini | Obstetrics & Gynecology | 110 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2006-05-12 |
| 1962477224 | Maryanne C Bombaugh | Obstetrics & Gynecology | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2006-02-21 |
| 1982688008 | John Ray Addy | Obstetrics & Gynecology | 13200 Cambridge Ct, Plymouth, MI 48170-3099 | 2005-12-01 |
| 1356324057 | Plymouth Ob-gyn Associates Inc | Obstetrics & Gynecology | 101 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2005-11-28 |
| 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.