HENRY FORD WYANDOTTE HOSPITAL (NPI# 1811122096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811122096 |
| Entity Type | Organization |
| Organization Name | HENRY FORD WYANDOTTE HOSPITAL |
| Practice Address |
2333 Biddle Ave Wyandotte MI 48192-4668 |
| Practice Telephone | 7343243516 |
| Mailing Telephone | 7343243516 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | MR. JAMES MILLER (CFO) |
| Authorized Official Telephone | 7342466044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 363L00000X | Nurse Practitioner | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD AND BLUE CARE NETWORK | 500H240580 | 01 |
| 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 |
| 1669922712 | Henry Ford Wyandotte Hospital | Surgery | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2016-10-12 |
| 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 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295186203 | Deborah K Capshaw | Nurse Practitioner | 11151 S 689 Rd, Wyandotte, OK 74370-9504 | 2016-06-30 |
| 1871108803 | Michael Jordan Caldwell | Nurse Practitioner | 1768 Ford Ave, Wyandotte, MI 48192-2306 | 2020-09-15 |
| 1821658378 | Caitlin Lopez | Nurse Practitioner | 2211 Fort St, Wyandotte, MI 48192-4135 | 2019-06-17 |
| 1780099275 | Julie Anne Sweeny | Nurse Practitioner | 2211 Fort St, Wyandotte, MI 48192-4135 | 2014-06-24 |
| 1134543846 | Hospitalist Physicians Medical Group of Michigan, PC | Nurse Practitioner | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2014-02-17 |
| 1922436229 | Adam Charles Schmid | Nurse Practitioner | 1500 Eureka Rd, Wyandotte, MI 48192-6103 | 2013-10-23 |
| 1336496793 | Sueann Isabella Hurd | Nurse Practitioner | 2070 Biddle Ave, Suite 200, Wyandotte, MI 48192-4080 | 2012-08-04 |
| 1073885695 | Epmg Downriver, Pllc (nurse Practitioners) | Nurse Practitioner | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2012-01-27 |
| 1164729372 | Burke John-erik Johnson | Nurse Practitioner | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2011-02-24 |
| 1669613220 | Kelvin Dewayne Roden-smith | Nurse Practitioner | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2009-03-11 |
| Find all providers in WYANDOTTE | ||||
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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.