MILLENNIUM MEDICAL GROUP WEST PC (NPI# 1801998448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801998448 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM MEDICAL GROUP WEST PC |
| Other Organization Name | MILLENNIUM WEST DIAGNOSTIC CENTER |
| Practice Address |
6149 N Wayne Rd Westland MI 48185-7128 |
| Practice Telephone | 7347282130 |
| Practice Fax Number | 7347297453 |
| Mailing Telephone | 7347282130 |
| Mailing Fax Number | 7347297453 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2011-05-26 |
| Authorized Official Name | DR. WILLIAM R SILVERSTONE (PRESIDENT) |
| Authorized Official Telephone | 7347282130 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCN | 1801998448 | 01 |
| MI | BLUE SHIELD GROUP | 700H219190 | 01 |
| Other Name | Type Code |
|---|---|
| MILLENNIUM WEST DIAGNOSTIC CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215035910 | Millennium Medical Group West PC | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-20 |
| 1821196346 | Millennium Medical Group West PC | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-20 |
| 1326145855 | Millennium Medical Group West PC | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-19 |
| 1447352075 | Millennium Medical Group West PC | Family Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-03 |
| Street Address |
6149 N WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548246242 | Scott A Paxton | Family Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2005-12-15 |
| 1053926899 | Julia Mcaree | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-09-09 |
| 1700407210 | Alexandra Marie Rabban | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-05-06 |
| 1629699731 | Carine Rae Gustin | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7130 | 2020-04-29 |
| 1366815557 | Jodie Colman | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-11-10 |
| 1821477258 | Roselyne A Ogola-mwangale | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-05-18 |
| 1043559404 | Michigan Healthcare Professionals PC | Internal Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2013-02-05 |
| 1255676706 | Rebecca Lynne Szymaszek | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-12-10 |
| 1811257603 | Linda Minns | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-05-25 |
| 1023395993 | Rx Express Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6149 N Wayne Rd, Suite 1, Westland, MI 48185-7128 | 2011-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
| Find all providers in zip 48185 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
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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.