DR. DAVID JOSE RODRIGUEZ


Address: 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Phone: 5864980440

DR. DAVID JOSE RODRIGUEZ (NPI# 1306963335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306963335
Entity Type Individual
Full Name DR. DAVID JOSE RODRIGUEZ
Credential M.D.
Practice Address 24211 Little Mack Ave
Saint Clair Shores
MI 48080-1151
Practice Telephone 5864980440
Practice Fax Number 5864980401
Mailing Telephone 5864980440
Mailing Fax Number 5864980401
Enumeration Date 2007-03-23
Last Update Date 2012-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 4301083605 MI Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
4301083605 MI Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 4301083605 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4985319-10 05
MI NPI # 1306963335 01
MI BCBS CPIN # 70-0-F32947-0 01

Other Providers DAVID RODRIGUEZ

NPI Name Taxonomy Address Enumeration
1487110151 David Rodriguez Behavior Technician 150 E 1st Ave Apt 1109, Hialeah, FL 33010-4953 2019-02-18
1982196556 David Rodriguez Counselor 728 Bayberry Dr, Bartlett, IL 60103-4444 2018-05-30
1669998118 David Rodriguez Sr. Peer Specialist 315 Record St Ste 100, Reno, NV 89512-3327 2017-08-16
1871960419 David Lester Rodriguez II Counselor 5902 Elm St Se, Tumwater, WA 98501 2015-08-31
1114290939 David Rodriguez Rehabilitation Practitioner 744 Jewel Tower St, Las Vegas, NV 89178-1218 2012-02-10
1598085623 David Rodriguez Pharmacy Technician Ave Hector La Villa, Bo. Sabana Hoyos, Arecibo, PR 00688 2010-06-11
1558521013 David Felipe Rodriguez Medical Genetics 6431 Fannin Street, Msb 3.144, Houston, TX 77030-2359 2008-06-09
1578730495 David Rodriguez Physical Therapist 2531 Kenora Pkwy, Eau Claire, WI 54703-6249 2008-05-09
1447393541 David N Rodriguez Nurse Practitioner 2904 Redwood Dr, Carrollton, TX 75007-4839 2007-02-15
1730276791 David Rodriguez Otolaryngology 308 W Embargo St, Rome, NY 13440-5047 2006-10-09

Office Location

Street Address 24211 LITTLE MACK AVE
City SAINT CLAIR SHORES
State MI
Zip Code 48080-1151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669760070 Fatme Barakat Coba Nurse Practitioner 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 2011-07-19
1730232463 Michelle Lynn Sloan Nurse Practitioner 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 2007-01-18
1790832319 Marni Lynn Young Nurse Practitioner 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 2007-01-04
1093871642 Paula Monique Lepler Registered Nurse 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 2006-12-28
1548325186 Rudy J Vervaeke Md Plc Internal Medicine 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 2006-12-26
1770515504 Edouard R. Daher Internal Medicine 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508482084 Farrah Aleema Rajab Family Medicine 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 2020-06-22
1558986141 Julia Anastazja Krakowska Family Medicine 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 2020-06-10
1972073567 Joyce Stepnak Social Worker 19611 E. 8 Mile Rd, Scs, MI 48080 2018-11-27
1487134177 Bonnie Girson Social Worker 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 2018-08-21
1609309913 Park Pharmacy Scs LLC Pharmacy 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 2017-04-05
1730564055 Mary Rose Giroux Psychologist 22516 Overlake St, St. Clair Shores, MI 48080 2015-07-28
1962882910 Ali Tarif Bazzy Family Medicine 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 2015-06-04
1497156228 Kelly Zalewski Social Worker 24631 Jefferson Ave, Saint Clair Shores, MI 48080 2014-09-11
1669871364 Mallory Margret Gordon Psychologist 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 2014-08-19
1932549375 Alexander Peter Bill Otolaryngology 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 2013-06-30
Find all providers in zip 48080

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528606241 Cypress Cardiology Pa Internal Medicine 1286 S Linden Rd Ste A, Flint, MI 48532-3457 2019-12-12
1609342757 Michael Ira Klein Internal Medicine 111 Elm St Apt 331, Birmingham, MI 48009-6346 2018-10-16
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1003319096 Michigan Canton Cardiology Associates Pllc Internal Medicine 4020 Venoy Rd Ste 200, Wayne, MI 48184-1899 2018-03-15
1700337227 Prime Vascular Center Pllc Internal Medicine G-5103 Miller Rd, Flint, MI 48507-1043 2016-10-19
1003366675 K Heart & Vascular Institute, Pllc Internal Medicine 33376 Dequindre Road, Sterling Heights, MI 48310-5966 2016-10-07
1255738472 Ashok Kondur Md PC Internal Medicine 4160 John R St Ste 525, Detroit, MI 48201-2022 2014-12-03
1952697252 Abiy Temesgen Nigatu Internal Medicine 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 2011-06-24
1477845824 Ehk Endovascular Pllc Internal Medicine 5500 Auto Club Drive, Suite 250, Dearborn, MI 48126-2683 2011-05-04
1134410970 Erik Henry Howell Internal Medicine 14555 Levan Rd Ste 203, Livonia, MI 48154 2011-04-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAINT CLAIR SHORES
Zip Code 48080

Improve Information

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Dataset Information

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.

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