EVAN T. THEOHARIS (NPI# 1881761252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881761252 |
| Entity Type | Individual |
| Full Name | EVAN T. THEOHARIS |
| Credential | M.D. |
| Practice Address |
Henry Ford Health System 6777 West Maple Road West Bloomfield MI 48323 |
| Practice Telephone | 2486616455 |
| Mailing Telephone | 2486616455 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301057938 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 316389710 | 05 | |
| COMMERCIAL-COMMERCIAL NUMBER | ET057938 | 01 | |
| CHAMPUS-CHAMPUS | ET057938 | 01 | |
| BLUE CROSS-BLUE CROSS | 700H262210 | 01 |
| Street Address |
HENRY FORD HEALTH SYSTEM 6777 WEST MAPLE ROAD |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598828113 | Vigen Darian | Otolaryngology | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-18 |
| 1053471680 | Howard Feit | Psychiatry & Neurology | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-12 |
| 1184792822 | Mark G. Weingarden | Radiology | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1891863346 | Ayesha A. Mahmood | Internal Medicine | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1255409702 | Lawrence C. Mitchell | Internal Medicine | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1427126978 | Zafarullah Muhammad | Internal Medicine | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1497823926 | Umadevi Pittala | Internal Medicine | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1326116856 | Keith H. Burch | Internal Medicine | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1427126960 | David F. Vella | Internal Medicine | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| 1790853232 | Joan K. Vangel | Internal Medicine | Henry Ford Health System, 6777 West Maple Road, West Bloomfield, MI 48323 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
| 1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
| 1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
| 1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
| 1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
| 1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
| 1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
| 1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
| 1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
| 1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
| Find all providers in zip 48323 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1528342292 | Michael Jerome Bonczak IIi | Obstetrics & Gynecology | 3064 Parkland Dr, West Bloomfield, MI 48322-1822 | 2011-09-29 |
| 1194950501 | Michael Charles Kent | Obstetrics & Gynecology | 2485 Doleman Dr, West Bloomfield, MI 48324-1405 | 2009-05-29 |
| 1497787576 | Shelley Sue Binkley | Obstetrics & Gynecology | 4936 Fairway Ridge Cir, Suite 200, West Bloomfield, MI 48323-3320 | 2006-07-07 |
| 1457337529 | Nancy A. Salem | Obstetrics & Gynecology | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2005-12-20 |
| 1588645519 | Lori L Shoha | Obstetrics & Gynecology | 5793 W Maple Rd Ste 147, West Bloomfield, MI 48322-4478 | 2005-11-08 |
| 1518952894 | Neil A Brickman | Obstetrics & Gynecology | 6900 Orchard Lake Rd, Ste 306, West Bloomfield, MI 48322-3405 | 2005-09-13 |
| 1235674714 | Jeffrey G Obron Pllc | Obstetrics & Gynecology | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2016-12-20 |
| 1538434220 | Mark Werner, M.d., P.C. | Obstetrics & Gynecology | 6900 Orchard Lake Rd, Suite 205, West Bloomfield, MI 48322-3405 | 2012-03-14 |
| 1134357288 | Rachel Mary O'keefe | Obstetrics & Gynecology | 2300 Haggerty Rd, Suite 2070, West Bloomfield, MI 48323-2184 | 2009-06-29 |
| 1770783870 | Amy Marcotte | Obstetrics & Gynecology | 5777 W Maple Rd Ste 200, West Bloomfield, MI 48322-2271 | 2007-07-18 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48323 |
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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.