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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4985319-10 | 05 | |
MI | NPI # | 1306963335 | 01 |
MI | BCBS CPIN # | 70-0-F32947-0 | 01 |
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 |
Street Address |
24211 LITTLE MACK AVE |
City | SAINT CLAIR SHORES |
State | MI |
Zip Code | 48080-1151 |
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 |
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 Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
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) |
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 |
City | SAINT CLAIR SHORES |
Zip Code | 48080 |
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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.