LUISA FERNANDA BAZAN (NPI# 1891863320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891863320 |
| Entity Type | Individual |
| Full Name | LUISA FERNANDA BAZAN |
| Credential | M.D. |
| Practice Address |
2799 West Grand Boulevard Henry Ford Health System Detroit MI 48202 |
| Practice Telephone | 3139162421 |
| Practice Fax Number | 3139169102 |
| Mailing Telephone | 3139162421 |
| Mailing Fax Number | 3139169102 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301073791 | MI | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4301073791 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
4301073791 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS-BLUE CROSS | 700H262220 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | LB073791 | 01 | |
| CHAMPUS-CHAMPUS | LB073791 | 01 | |
| MI | 481026010 | 05 |
| Street Address |
2799 WEST GRAND BOULEVARD HENRY FORD HEALTH SYSTEM |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528077567 | Sampath Ramachandran | Radiology | 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-08-07 |
| 1124558333 | Kemal Bahcheli | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulevard, Medical Education Department, Detroit, MI 48202-2608 | 2017-06-20 |
| 1982137188 | Kathleen Estrada | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulevard, Medical Education Department Henry Ford Hospital, Detroit, MI 48202 | 2017-04-05 |
| 1558817734 | Sarah Lozon | Nurse Practitioner | 2799 West Grand Boulevard, Detroit, MI 48202 | 2016-08-29 |
| 1265849848 | Kazuhiro Takahashi | Transplant Surgery | 2799 West Grand Boulevard, Detroit, MI 48202 | 2014-07-16 |
| 1891049094 | Poonam Bansal | Ophthalmology | 2799 West Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202-2608 | 2012-11-09 |
| 1306106885 | Ibidola Owaduge | Anesthesiology | 2799 West Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202-2608 | 2012-05-18 |
| 1639451545 | Farah Hanif Ali Mohammad | Surgery | 2799 West Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202 | 2011-09-16 |
| 1154641280 | Lindsay F Petersen | Surgery | 2799 West Grand Boulevard, Cfp 369, Detroit, MI 48202 | 2010-06-11 |
| 1477872976 | April Ann Hom | Family Medicine | 2799 West Grand Boulevard, Henry Ford Hospital, Detroit, MI 48202-2608 | 2010-05-24 |
| 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 | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306969944 | Ruth Darcel Barnett | Internal Medicine | 15121 W Mcnichols Rd, Detroit, MI 48235-3716 | 2007-04-09 |
| 1306368923 | Henry Ford Health System -free Standing Clinic | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2017-07-14 |
| 1104040609 | Henry Ford Hospital | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-04-13 |
| 1083782528 | Christopher L. Drake | Internal Medicine | Henry Ford Health System, 2799 West Grand Blvd., Detroit, MI 48202 | 2006-12-01 |
| 1760599484 | Meeta Singh | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796913 | Internal Medicine Sleep Associates Pllc | Internal Medicine | 7300 Deep Run, Bloomfield Hills, MI 48301-3821 | 2018-10-19 |
| 1457739534 | Comprehensive Sleep Diagnostics | Internal Medicine | 3515 Coolidge Rd Ste A, East Lansing, MI 48823-8014 | 2015-05-11 |
| 1588078901 | Aairs Diagnostics PC | Internal Medicine | 1500 W. Big Beaver, Ste 107, Troy, MI 48084 | 2014-06-13 |
| 1184042723 | Harrison M Gimbel | Internal Medicine | 1500 E Medical Center Dr Spc 5316, Ann Arbor, MI 48109 | 2014-04-01 |
| 1295906741 | Great Lakes Sleep Medicine Institute Plc | Internal Medicine | 3058 Metropolitan Parkway, Suite 108, Sterling Heights, MI 48310 | 2008-03-12 |
| 1124220140 | Todd C Gould Do Oc | Internal Medicine | 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 | 2007-06-01 |
| 1255455887 | Margaret Moen Md Pllc | Internal Medicine | 457 Munson Ave, Traverse City, MI 49686-3084 | 2007-03-19 |
| 1578634440 | Sleep Apnea Specialty Centers Of | Internal Medicine | 42180 Ford Rd, Suite 201, Canton, MI 48187-3673 | 2006-11-13 |
| 1801966080 | Sleep Apnea Specialty Center | Internal Medicine | 14031 Pennsylvania Rd, Suite A, Riverview, MI 48193-7508 | 2006-11-08 |
| 1760476048 | John Harmon Morrison Jr. | Internal Medicine | 10641 Castlewood Dr, White Lake, MI 48386-3724 | 2005-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LUISA FERNANDA BAZAN.
| 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.