Poala D Prude Hall (NPI# 1093889503, PAC ID# 0547214215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093889503 |
| PAC ID by PECOS | 0547214215 |
| Professional Enrollment ID | I20050304000728 |
| Full Name | Poala D Prude Hall |
| Organization Legal Name | HENRY FORD HEALTH SYSTEM |
| Address |
26300 Woodward Ave Royal Oak MI 48067-0917 |
| Phone Number | 2485462110 |
| Gender | F |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547178311 |
| Number of Group Practice Members | 1861 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230053 | HENRY FORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2799 W Grand Blvd, Detroit, MI 48202-2608 | 3139162600 | HENRY FORD HEALTH SYSTEM |
| 26300 Woodward Ave, Royal Oak, MI 48067-0917 | 2485462110 | HENRY FORD HEALTH SYSTEM |
| 2825 Livernois Rd, Troy, MI 48083-1214 | 2486806000 | HENRY FORD HEALTH SYSTEM |
| Organization Legal Name | HENRY FORD HEALTH SYSTEM |
| Physicians | 2034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vneshe Parekh | Family Medicine | Henry Ford Health System | 6620 Highland Rd, Suite 101, Waterford, MI 48327-1682 |
| Kristin Marika Work | Nurse Practitioner | Henry Ford Health System | 6773 W Maple Rd, West Bloomfield, MI 48322-3013 |
| Komal Dhanoa | Family Medicine | Henry Ford Health System | 22505 Allen Rd, Woodhaven, MI 48183-2237 |
| Kristen Horner Angster | Otolaryngology | Henry Ford Health System | 14500 Hall Rd, Sterling Heights, MI 48313-1229 |
| Andrew R Larson | Internal Medicine | Henry Ford Health System | 1265 N Milford Rd, Milford, MI 48381-1018 |
| Shera C Thompson | Nurse Practitioner | Henry Ford Health System | 45 Grand River Ave, Detroit, MI 48226-1701 |
| Lisa S Zetuna | Certified Registered Nurse Anesthetist (crna) | Henry Ford Health System | 2799 W Grand Boulevard, Detroit, MI 48202-2608 |
| Jarida Begum | Nurse Practitioner | Henry Ford Health System | 159 Kercheval Ave, Grosse Pointe, MI 48236-3610 |
| Brett T Tolpa | Certified Registered Nurse Anesthetist (crna) | Henry Ford Health System | 2333 Biddle, Wyandotte, MI 48192-4668 |
| Katherine Cybinski | Family Medicine | Henry Ford Health System | 7800 W Outer Dr, Detroit, MI 48235-3461 |
| Street Address |
26300 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip | 48067-0917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Krebsbach | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Nik Gjurashaj | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Sachin S Parikh | Cardiovascular Disease (cardiology) | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Rachel Lynn Carolan | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Raymond D Allard | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Michael J Zimmer | Family Medicine | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Janice F Mcintosh | Certified Nurse Midwife | Henry Ford Health System | 26300 Woodward Ave, Royal Oak, MI 48067-0917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie P Williams | Psychologist, Clinical | 618 E Eleven Mile Rd, Transcendence Behavioral Health, Royal Oak, MI 48067 | |
| Joyce A Dixson-haskett | Clinical Social Worker | 26080 Woodward Ave, Royal Oak, MI 48067-0914 | |
| Sarah Fay Cornwell | Physician Assistant | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Marisa Rose Abbo | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Terry M Calcut Jr. | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Sage Mari Davis | Nurse Practitioner | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Linda M Dillon | Family Medicine | Covenant Community Care, Inc. | 27776 Woodward Ave, Royal Oak, MI 48067-0930 |
| Walter L Sobota | Psychologist, Clinical | 25600 Woodward Ave, Suite 107, Royal Oak, MI 48067-0943 | |
| Sara M Gellner | Clinical Social Worker | 25600 Woodward Ave, Suite 102, Royal Oak, MI 48067-0944 | |
| Dana Macmillan | Psychiatry | 25600 Woodward Ave, Suite 101, Royal Oak, MI 48067-0944 | |
| Find all physicians in zip 48067 | |||
| City | ROYAL OAK |
| Zip Code | 48067 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROYAL OAK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Poala D Prude Hall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.