MR. DOMINIC JEROME GIALLOMBARDO (NPI# 1033373352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033373352 |
| Entity Type | Individual |
| Full Name | MR. DOMINIC JEROME GIALLOMBARDO |
| Credential | MT(ASCP), RN, PA-C |
| Practice Address |
748 S Main St Cheboygan MI 49721-2220 |
| Mailing Address |
652 N Otsego Ave Gaylord MI 49735-2502 |
| Practice Telephone | 2316271282 |
| Mailing Telephone | 9897323529 |
| Mailing Fax Number | 9897327865 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005278 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
748 S MAIN ST |
| City | CHEBOYGAN |
| State | MI |
| Zip Code | 49721-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139443 | Madhuri Gogineni | Internal Medicine | 748 S Main St, Cheboygan, MI 49721-2220 | 2005-10-28 |
| 1790285237 | Alvin Mina | Physical Medicine & Rehabilitation | 748 S Main St, Cheboygan, MI 49721-2220 | 2018-02-20 |
| 1760927636 | Valerie Witt | Dental Hygienist | 748 S Main St, Suite B, Cheboygan, MI 49721-2220 | 2016-12-30 |
| 1437477676 | Community Memorial Hospital | Special Hospital | 748 S Main St, Cheboygan, MI 49721-2220 | 2010-05-12 |
| 1427376664 | Community Memorial Hospital | General Acute Care Hospital | 748 S Main St, Cheboygan, MI 49721-2220 | 2010-05-12 |
| 1821138488 | Alan Vern Scott | Social Worker | 748 S Main St, Cheboygan, MI 49721-2220 | 2007-02-06 |
| 1306935663 | Community Memorial Hospital | Nurse Practitioner | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-10-12 |
| 1760571038 | Community Memorial Hospital | Physician Assistant | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-10-12 |
| 1669487237 | Northern Radiology, PC | Radiology | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-07-30 |
| 1841211588 | Community Memorial Hospital | Emergency Medicine | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505755 | Cheboygan Area High School - Counseling Room | Clinic/Center | 801 W Lincoln Ave, Cheboygan, MI 49721 | 2018-07-26 |
| 1073048542 | Emily K Stevens | Counselor | 520 North Main St., Suite 202, Cheboygan, MI 49721 | 2017-04-21 |
| 1093102311 | Ashley Richards | Physical Therapy Assistant | 428 S. Huron St., Cheboygan, MI 49721 | 2015-04-24 |
| 1750791505 | Walloon Lake Recovery Lodge, LLC | Counselor | 811 Sammons St, Cheboygan, MI 49721 | 2014-05-02 |
| 1891118535 | Bethanie Norton-boss | Occupational Therapist | 4016 W. Us23, Cheboygan, MI 49721 | 2014-01-31 |
| 1457780751 | Alicia Yokom | Physical Therapist | 12550 Goebel Road, Cheboygan, MI 49721 | 2013-11-06 |
| 1902121049 | Shellie Charboneau | Massage Therapist | 321 S. Huron, Cheboygan, MI 49721 | 2010-04-01 |
| 1215269287 | Bay Street Orthopaedics Pllc | Orthopaedic Surgery | 838 South Main, Cheboygan, MI 49721 | 2010-02-02 |
| 1598099137 | Vitalcare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 602 W. Seymour Street, Cheboygan, MI 49721 | 2009-09-30 |
| 1922243138 | Sarah B. Proctor | Acupuncturist | 520 N. Main St, Suite 303, Cheboygan, MI 49721 | 2008-12-03 |
| Find all providers in zip 49721 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922556190 | Kaitlin Marie Lalonde | Physician Assistant | 722 S Main St, Cheboygan, MI 49721 | 2016-09-16 |
| 1760571038 | Community Memorial Hospital | Physician Assistant | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
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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.