REPRODUCTIVE MEDICINE ASSOC. (NPI# 1972689453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972689453 |
| Entity Type | Organization |
| Organization Name | REPRODUCTIVE MEDICINE ASSOC. |
| Practice Address |
130 Town Center Dr Suite 106 Troy MI 48084-1744 |
| Practice Telephone | 2486199030 |
| Practice Fax Number | 2486199031 |
| Mailing Telephone | 2486199030 |
| Mailing Fax Number | 2486199031 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MS. LESLIE A WROLSTAD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2486193100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | REPRODUCTIVE MEDICINE ASSOCIATES - INTERNATIONAL, LLP | 475 Park Avenue South 8th Fl., New York, New York 10016 |
| New York State Corporations | REPRODUCTIVE MEDICINE ASSOCIATES OF CONNECTICUT, P.C. | 761 Main Avenue, Norwalk, Ct 06851 |
| New York State Corporations | REPRODUCTIVE MEDICINE ASSOCIATES OF NEW YORK AT WESTCHESTER, PLLC | 360 North Bedford Road, Mt. Kisco, Ny 10549 |
| Street Address |
130 TOWN CENTER DR SUITE 106 |
| City | TROY |
| State | MI |
| Zip Code | 48084-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1740726033 | Anthony Dicicco | Nurse Anesthetist, Certified Registered | 130 Town Center Dr, Suite 203, Troy, MI 48084-1744 | 2017-01-11 |
| 1548640709 | Emily O'rourke | Physician Assistant | 130 Town Center Dr, Suite 203, Troy, MI 48084-1744 | 2015-06-03 |
| 1033466933 | Town Center Asc LLC | Clinic/Center | 130 Town Center Dr, Suite 130, Troy, MI 48084-1744 | 2012-08-09 |
| 1093037756 | Amie E Sweet | Physician Assistant | 130 Town Center Dr, 203, Troy, MI 48084-1744 | 2010-02-23 |
| 1174854046 | Acure Home Care Inc. | Home Health | 130 Town Center Dr, Suite 207, Troy, MI 48084-1744 | 2010-01-16 |
| 1669616785 | Ambik Inc | Pharmacy | 130 Town Center Dr, Troy, MI 48084-1744 | 2009-04-21 |
| 1962674499 | Michigan Institute of Urology PC | Urology | 130 Town Center Dr, Suite 200, Troy, MI 48084-1744 | 2008-03-25 |
| 1841477023 | Rodney Richard Corby | Radiology | 130 Town Center Dr, Suite 203, Troy, MI 48084-1744 | 2008-01-30 |
| 1326236597 | Pamela Merita Jones | Nurse Practitioner | 130 Town Center Dr, Suite 101, Troy, MI 48084-1744 | 2007-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
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| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1770621252 | Charla M Blacker | Obstetrics & Gynecology | 1500 W Big Beaver Rd, Ste 105, Troy, MI 48084-3526 | 2007-02-05 |
| 1902846454 | Kenneth Alan Ginsburg | Obstetrics & Gynecology | 1500 W Big Beaver Rd, Suite 105, Troy, MI 48084-3522 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023282647 | Edwin Peter Peterson | Obstetrics & Gynecology | 375 W Northfield Church Rd, Ann Arbor, MI 48105 | 2008-04-15 |
| 1801081625 | Advanced Reproductive Medicine & Surgery, PC | Obstetrics & Gynecology | 4190 Telegraph Rd, Suite 1500, Bloomfield Hills, MI 48302-2079 | 2007-09-14 |
| 1053472027 | Carole L Kowalczyk | Obstetrics & Gynecology | 4700 E. 13 Mile Road, Suite 200, Warren, MI 48092 | 2006-12-13 |
| 1861571150 | Fereshteh Fahimi | Obstetrics & Gynecology | Spb 1200 E Michigan Ave, Suite 305, Lansing, MI 48912 | 2006-11-06 |
| 1851324610 | Grand Rapids Fertility & Ivf, PC | Obstetrics & Gynecology | 555 Mid Towne St Ne, Ste 300, Grand Rapids, MI 49503-2515 | 2006-07-07 |
| 1902867625 | Manvinder Singh | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-03-31 |
| 1740240654 | Alexander Maximovich | Obstetrics & Gynecology | 4190 Telegraph Road, Suite 1500, Bloomfield Hills, MI 48302 | 2006-03-24 |
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1407838535 | Asghar Afsari | Obstetrics & Gynecology | 7419 Middlebelt Rd, Suite 1, West Bloomfield, MI 48322-4182 | 2005-11-15 |
| 1629364856 | Phillip W Lambert Md PC | Obstetrics & Gynecology | 341 Canterbury Dr, Saginaw, MI 48638-5812 | 2011-06-27 |
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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.