HENRY FORD WYANDOTTE HOSPITAL (NPI# 1669922712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669922712 |
| Entity Type | Organization |
| Organization Name | HENRY FORD WYANDOTTE HOSPITAL |
| Practice Address |
2333 Biddle Ave Wyandotte MI 48192-4668 |
| Mailing Address |
1640 Fort St Suite D Attn Denise Trenton MI 48183-2040 |
| Practice Telephone | 7342466000 |
| Practice Fax Number | 7342466000 |
| Mailing Telephone | 7343913057 |
| Mailing Fax Number | 7343913052 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | JACOB BUDD (DIRECTOR PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 7342879845 |
| Authorized Official Credential | DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568861557 | Henry Ford Wyandotte Hospital | Otolaryngology | 23050 West Rd Ste 240, Brownstown Twp, MI 48183-1473 | 2014-08-15 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1134677537 | Henry Ford Wyandotte Hospital | General Acute Care Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2016-09-14 |
| 1093182883 | Henry Ford Wyandotte Hospital | Pharmacy | 2333 Biddle Avenue, Wyandotte, MI 48192-0000 | 2015-08-27 |
| 1437542743 | Henry Ford Wyandotte Hospital | General Acute Care Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2015-03-11 |
| 1144634403 | Henry Ford Wyandotte Hospital | Nurse Practitioner | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2014-06-16 |
| 1710315932 | Henry Ford Wyandotte Hospital | Physician Assistant | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2013-10-25 |
| 1699102244 | Henry Ford Wyandotte Hospital | Orthopaedic Surgery | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2013-09-27 |
| 1083959480 | Henry Ford Wyandotte Hospital | General Acute Care Hospital | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2012-12-11 |
| 1700145851 | Henry Ford Wyandotte Hospital | Internal Medicine | 23050 West Rd, Ste 120, Brownstown Twp, MI 48183-1472 | 2012-05-10 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
| 1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
| 1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
| 1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
| 1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
| 1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
| 1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
| 1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
| 1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
| 1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
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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.