DR. JEREMY RYAN CIULLO (NPI# 1265660062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265660062 |
Entity Type | Individual |
Full Name | DR. JEREMY RYAN CIULLO |
Credential | MD |
Practice Address |
11012 E 13 Mile Rd Ste 112 Warren MI 48093 |
Mailing Address |
11012 E 13 Mile Rd Ste 112 Warren MI 48093-2546 |
Practice Telephone | 5865735880 |
Practice Fax Number | 5865732562 |
Mailing Telephone | 5867513380 |
Mailing Fax Number | 5867510950 |
Enumeration Date | 2009-06-30 |
Last Update Date | 2018-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
4301094831 | MI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
4160 John R St, Harper Professional Building Suite 615, Detroit, MI 482012020 | 3137454195 | 3139938669 |
Street Address |
11012 E 13 MILE RD STE 112 |
City | WARREN |
State | MI |
Zip Code | 48093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184828451 | Michigan Surgery Specialists, P.C. | Orthopaedic Surgery | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2007-06-12 |
1255802526 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 112, Warren, MI 48093-2546 | 2018-12-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
Find all providers in zip 48093 |
Taxonomy Code | 2086S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgery of the Hand |
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134334394 | Rajesh Bhagat Md PC | Surgery | 4020 S Vernoy, Wayne, MI 48184 | 2007-05-11 |
1932313558 | Avery A. Arora | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2007-05-10 |
1568476703 | Rajesh C Bhagat | Surgery | 19181 15 Mile Rd, Clinton Twp, MI 48035-2508 | 2006-07-27 |
1528003829 | Joseph F Looby | Surgery | 2540 Woodmeadow Dr Se, Grand Rapids, MI 49546-8050 | 2006-06-19 |
1396700761 | Daniel J Olsen | Surgery | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2006-04-19 |
1730160052 | Curtis S Young | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2005-11-14 |
1609868496 | Jeffrey Maurice Hall | Surgery | 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 | 2005-08-17 |
1689163529 | Avery Arora, Md PC | Surgery | 7001 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3606 | 2018-05-07 |
1730403403 | Dong Wha Ohm Md PC | Surgery | 1085 S Linden Rd, Suite 100, Flint, MI 48532-3421 | 2010-03-24 |
1871795393 | Curtis S Young Md Plc | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2007-06-05 |
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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.