GARY SHELDON SALEM (NPI# 1205839909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205839909 |
| Entity Type | Individual |
| Full Name | GARY SHELDON SALEM |
| Credential | D.O. |
| Practice Address |
1375 N Main St 1w Lapeer MI 48446-1350 |
| Practice Telephone | 3135909170 |
| Practice Fax Number | 8442743091 |
| Mailing Telephone | 3135909170 |
| Mailing Fax Number | 8442743091 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101008983 | MI | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 5101008983 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0D40045 | 01 |
| MI | NPI | 1205839909 | 01 |
| MI | 4846709 | 05 |
| Street Address |
1375 N MAIN ST 1W |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651138 | Muamer Mesinovic | Nurse Anesthetist, Certified Registered | 1375 N Main St, Lapeer, MI 48446-1350 | 2020-02-18 |
| 1649828146 | Mayo Mitsuya Pllc | Surgery | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-08-28 |
| 1881254340 | Justin Bailey | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-06-17 |
| 1629631205 | Hayley L Dunlap | Registered Nurse | 1375 N Main St, Lapeer, MI 48446-1350 | 2019-04-18 |
| 1871061424 | Marci Kay Coates | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-12 |
| 1659849586 | Ashley N Brown | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-11-08 |
| 1023591484 | Rose Kodsy | Nurse Practitioner | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-09-12 |
| 1427546290 | Brooke Lubahn | Occupational Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-27 |
| 1255838090 | Thandapani Sivakumar | Physical Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-09 |
| 1023515863 | Jennifer Nolan | Occupational Therapist | 1375 N Main St, Lapeer, MI 48446-1350 | 2018-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124415161 | Arja Md PC | Internal Medicine | 2401 W Genesee St Ste C, Lapeer, MI 48446-1779 | 2015-04-16 |
| 1508186404 | Jouliana Janineh Eager | Internal Medicine | 1254 N Main St Fl 3, Lapeer, MI 48446-1343 | 2010-06-03 |
| 1144459942 | Mohammad Zarka | Internal Medicine | 1333 Imlay City Rd, Lapeer, MI 48446-3113 | 2009-07-14 |
| 1437283181 | Gunda S. Reddy Md PC | Internal Medicine | 3273 Davison Rd Ste 1, Lapeer, MI 48446-2902 | 2007-03-15 |
| 1407958440 | Vishnu Kant Sharma | Internal Medicine | 3257 Davison Road, Lapeer, MI 48446-2909 | 2006-09-01 |
| 1548299464 | Mohamad Arja | Internal Medicine | 1875 North Main St, Lapeer, MI 48446 | 2006-07-02 |
| 1043260342 | Majed Nounou | Internal Medicine | 1075 Suncrest Dr, Suite C, Lapeer, MI 48446-4403 | 2006-05-10 |
| 1639171424 | Antoun Aftimos | Internal Medicine | 1083 Suncrest Dr, Suite A, Lapeer, MI 48446-4421 | 2005-08-11 |
| 1851734164 | Rudin Gjeka | Internal Medicine | 1031 Suncrest Dr, Lapeer, MI 48446-1136 | 2013-04-17 |
| 1841522018 | Gary Salem, D.o., PC | Internal Medicine | 1375 N Main St, Lapeer, MI 48446-1350 | 2010-02-12 |
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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.