THE WELLNESS PLAN MEDICAL CENTERS (NPI# 1801148911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801148911 |
| Entity Type | Organization |
| Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Other Organization Name | THE WELLNESS PLAN MEDICAL CENTERS |
| Practice Address |
2888 W Grand Blvd Detroit MI 48202-2612 |
| Mailing Address |
7700 2nd Ave Detroit MI 48202-2477 |
| Practice Telephone | 3138754200 |
| Practice Fax Number | 3138755611 |
| Mailing Telephone | 3132028660 |
| Mailing Fax Number | 3132028653 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | MR. ANTHONY V. KING (CEO AND EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3132028550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| The Wellness Plan | Doing Business As Name - Organization |
| The Wellness Plan Medical Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114420353 | The Wellness Plan Medical Centers | Clinic/Center | 27321 Hampden St Rm 202, Madison Heights, MI 48071-3113 | 2018-03-14 |
| 1386684033 | The Wellness Plan Medical Centers | Pharmacy | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2006-06-08 |
| 1235651381 | The Wellness Plan Medical Centers | Family Medicine | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2017-07-11 |
| 1427416783 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2016-02-02 |
| 1447675434 | The Wellness Plan Medical Centers | Clinic/Center | 44405 Woodward Ave, Suite H-13, Pontiac, MI 48341-5023 | 2014-02-27 |
| 1558614289 | The Wellness Plan Medical Centers | Obstetrics & Gynecology | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2012-10-18 |
| 1669632816 | The Wellness Plan Medical Centers | Clinic/Center | 4909 E Outer Dr, Detroit, MI 48234-3446 | 2008-06-11 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1043373244 | The Wellness Plan Medical Centers | Clinic/Center | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-12-18 |
| 1649229287 | The Wellness Plan Medical Centers | Internal Medicine | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2006-05-10 |
| Street Address |
2888 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986450 | Felicia R. Randolph | Internal Medicine | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2005-07-15 |
| 1518479559 | Noureyah Rageh | Nurse Practitioner | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2017-10-31 |
| 1245741206 | Danita Mayes Dixon | Nurse Practitioner | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2017-10-18 |
| 1154862787 | Kimberly Louise Thornton | Pharmacist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2017-03-15 |
| 1548638380 | Fareeha Nadeem | Counselor | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2015-09-10 |
| 1407259674 | Bakari Wallace | Social Worker | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2014-10-02 |
| 1720405418 | Brittney Daftuar | Social Worker | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2014-03-19 |
| 1780953059 | Stephanie L Gray | Counselor | 2888 W Grand Blvd, Suite 360, Detroit, MI 48202-2612 | 2011-12-15 |
| 1497052583 | Gayatri Sham Joshi | Physical Therapist | 2888 W Grand Blvd, Detroit, MI 48202-2612 | 2011-02-25 |
| 1134355902 | Gateway Obgyn Associates Pllc | Obstetrics & Gynecology | 2888 W Grand Blvd, St. 287, Detroit, MI 48202-2612 | 2009-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678687 | Elmwood Park Dental | Dentist | 1547 E Lafayette St, Detroit, MI 48207-2958 | 2020-08-04 |
| 1205452786 | Daniel Galvez | Dentist | 200 Riverfront Dr Apt 20f, Detroit, MI 48226-7598 | 2020-06-22 |
| 1669947107 | Diamond Smiles Dentistry, PC | Dentist | 13334 E Jefferson Ave, Detroit, MI 48215-2719 | 2018-10-11 |
| 1053802629 | Hussein Daher | Dentist | 6061 W Vernor Hwy Ste 1, Detroit, MI 48209-2085 | 2018-05-19 |
| 1497278287 | Kamil Abraham | Dentist | 24366 Grand River Ave Ste 111, Detroit, MI 48219-3098 | 2017-07-24 |
| 1326561887 | Nicholas Dipilla | Dentist | 1 Woodward Ave Ste 1625, Detroit, MI 48226-3422 | 2017-07-17 |
| 1164963401 | Smile Fresh Detroit PC | Dentist | 7230 Gratiot Avenue, Detroit, MI 48213 | 2017-03-20 |
| 1164967469 | Fady Sarkees | Dentist | 21427 Grand River Ave, Detroit, MI 48219-3896 | 2016-12-23 |
| 1538523477 | Charnia Hall | Dentist | 4272 Saint Antoine St, Detroit, MI 48201-2108 | 2016-04-06 |
| 1093178378 | Florence Koloko | Dentist | 250 E Harbortown Dr Apt 608, Detroit, MI 48207-5010 | 2016-04-03 |
| Find all providers in DETROIT | ||||
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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.