MICHIGAN REPRODUCTIVE MEDICINE (NPI# 1801030218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801030218 |
| Entity Type | Organization |
| Organization Name | MICHIGAN REPRODUCTIVE MEDICINE |
| Other Organization Name | CENTER FOR REPRODUCTIVE MEDICINE AND SURGERY, PC |
| Practice Address |
41000 Woodward Ave Suite 100 East Bloomfield Hills MI 48304-5130 |
| Mailing Address |
2830 Meadowood Ln Bloomfield MI 48302-1029 |
| Practice Telephone | 2485936990 |
| Practice Fax Number | 2485935925 |
| Mailing Telephone | 2489720877 |
| Mailing Fax Number | 2489720880 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | MARY JO MERSOL-BARG (MANAGER) |
| Authorized Official Telephone | 2489720877 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
MM0056302 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 0633272 | 01 |
| MI | HEALTH ALLIANCE PLAN | 14367A | 01 |
| Other Name | Type Code |
|---|---|
| Center for Reproductive Medicine and Surgery, PC | Former Legal Business Name - Organization |
| Street Address |
41000 WOODWARD AVE SUITE 100 EAST |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48304-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902867625 | Manvinder Singh | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-03-31 |
| 1932685435 | Melody Anne Michelon | Nurse Practitioner | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2018-07-17 |
| 1255885067 | Maximum Care Services LLC | Home Health | 41000 Woodward Ave, 350, Bloomfield Hills, MI 48304-5130 | 2016-08-10 |
| 1902252398 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 41000 Woodward Ave, Suite 350, Bloomfield Hills, MI 48304 | 2016-05-04 |
| 1821489261 | Chrystal Nicole Westbrook | Counselor | 41000 Woodward Ave, Bloomfield Hills, MI 48304 | 2015-02-06 |
| 1275545634 | Michael Scott Mersol-barg | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
| 1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
| 1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
| 1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
| 1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
| 1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
| Find all providers in zip 48304 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1801081625 | Advanced Reproductive Medicine & Surgery, PC | Obstetrics & Gynecology | 4190 Telegraph Rd, Suite 1500, Bloomfield Hills, MI 48302-2079 | 2007-09-14 |
| 1902867625 | Manvinder Singh | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-03-31 |
| 1740240654 | Alexander Maximovich | Obstetrics & Gynecology | 4190 Telegraph Road, Suite 1500, Bloomfield Hills, MI 48302 | 2006-03-24 |
| 1821188426 | Ahmad Omar Hammoud | Obstetrics & Gynecology | 37000 Woodward Ave, Bloomfield Hills, MI 48304-0922 | 2006-10-13 |
| 1275545634 | Michael Scott Mersol-barg | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023282647 | Edwin Peter Peterson | Obstetrics & Gynecology | 375 W Northfield Church Rd, Ann Arbor, MI 48105 | 2008-04-15 |
| 1053472027 | Carole L Kowalczyk | Obstetrics & Gynecology | 4700 E. 13 Mile Road, Suite 200, Warren, MI 48092 | 2006-12-13 |
| 1861571150 | Fereshteh Fahimi | Obstetrics & Gynecology | Spb 1200 E Michigan Ave, Suite 305, Lansing, MI 48912 | 2006-11-06 |
| 1851324610 | Grand Rapids Fertility & Ivf, PC | Obstetrics & Gynecology | 555 Mid Towne St Ne, Ste 300, Grand Rapids, MI 49503-2515 | 2006-07-07 |
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1407838535 | Asghar Afsari | Obstetrics & Gynecology | 7419 Middlebelt Rd, Suite 1, West Bloomfield, MI 48322-4182 | 2005-11-15 |
| 1629364856 | Phillip W Lambert Md PC | Obstetrics & Gynecology | 341 Canterbury Dr, Saginaw, MI 48638-5812 | 2011-06-27 |
| 1952696346 | Michigan Center for Fertility and Womens Health, Plc | Obstetrics & Gynecology | 4700 E 13 Mile Rd, Warren, MI 48092-4438 | 2011-06-14 |
| 1063735058 | Hassan Amirikia Md PC | Obstetrics & Gynecology | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2010-03-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
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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.