DR. MORDECHAI HALLAK (NPI# 1841495249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841495249 |
| Entity Type | Individual |
| Full Name | DR. MORDECHAI HALLAK |
| Credential | M.D. |
| Practice Address |
3750 Woodward Ave Ste 200c Detroit MI 48201-2007 |
| Mailing Address |
3750 Woodward Ave Ste 200b Detroit MI 48201-2007 |
| Practice Telephone | 3139934645 |
| Practice Fax Number | 3139934654 |
| Mailing Telephone | 3139934538 |
| Mailing Fax Number | 3139934537 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
4301058295 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3750 WOODWARD AVE STE 200C |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984236 | David Bryant Jr. | Obstetrics & Gynecology | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2006-03-07 |
| 1427411859 | Lisa Marie Laberge | Student in an Organized Health Care Education/Training Program | 3750 Woodward Ave, Suite 200 A, Detroit, MI 48201-2007 | 2016-04-02 |
| 1700155272 | Lynette Patrice Carroll | Advanced Practice Midwife | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2011-12-29 |
| 1205144540 | Angela Chiodo | Advanced Practice Midwife | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2010-09-21 |
| 1255645487 | Jimmy Belotte | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200c, Detroit, MI 48201-2007 | 2010-07-29 |
| 1699921775 | Deslyn Theola Gloria Hobson | Obstetrics & Gynecology | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2008-08-08 |
| 1821259664 | Brian Mcclatchey | Social Worker | 3750 Woodward Ave, Detroit, MI 48201-2007 | 2008-06-24 |
| 1376704759 | Neil Simmerman | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200c, Detroit, MI 48201-2007 | 2008-06-19 |
| 1174730444 | Eline Haenebalcke Wilson | Obstetrics & Gynecology | 3750 Woodward Ave, Ste 200c, Detroit, MI 48201-2007 | 2007-05-17 |
| 1326172107 | University Women's Care | Advanced Practice Midwife | 3750 Woodward Ave, Suite 200-c, Detroit, MI 48201-2007 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1487694949 | Susan Berman | Obstetrics & Gynecology | 4201 St Antoine Ste 4e&f, University Health Center, Detroit, MI 48201 | 2006-06-06 |
| 1164469680 | Bernard Gonik | Obstetrics & Gynecology | Sinai Grace Hospital-atenatal Diagnostic Unit, 6071 W Outer Dr, Detroit, MI 48235 | 2006-06-01 |
| 1083663983 | Gregory L Goyert | Obstetrics & Gynecology | 3301 W Grand St, 8th Floor, Detroit, MI 48238-2793 | 2006-05-08 |
| 1285893727 | Ascension St John Hospital | Obstetrics & Gynecology | 22101 Moross Rd, Detroit, MI 48236-2148 | 2008-06-09 |
| 1013036839 | Roberto Romero | Obstetrics & Gynecology | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1922139880 | St John Hospital and Medical Center | Obstetrics & Gynecology | 22151 Moross Rd, Suite 313, Detroit, MI 48236-2167 | 2007-03-09 |
| 1437296761 | Debra Jane Wright | Obstetrics & Gynecology | 22151 Moross Rd, Ste 313, Detroit, MI 48236-2167 | 2007-01-30 |
| 1174693675 | Lami Yeo | Obstetrics & Gynecology | 3980 John R 4 Webber, Detroit, MI 48201-2018 | 2006-11-09 |
| 1952396780 | Brian A Mason | Obstetrics & Gynecology | 22151 Moross Rd, 313, Detroit, MI 48236-2167 | 2005-09-19 |
| 1396730255 | Mitchell P Dombrowski | Obstetrics & Gynecology | 22151 Moross Rd, 313, Detroit, MI 48236-2167 | 2005-09-16 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on DR. MORDECHAI HALLAK.
| 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.