DOMINIC J SANFILIPPO II (NPI# 1386615763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386615763 |
| Entity Type | Individual |
| Full Name | DOMINIC J SANFILIPPO II |
| Credential | MD |
| Practice Address |
100 Michigan St Ne Mc 117 Grand Rapids MI 49503-2560 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162670118 |
| Practice Fax Number | 6162670090 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
4301046387 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301046387 | MI | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
4301046387 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1947145 | 05 |
| Street Address |
100 MICHIGAN ST NE MC 117 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001668 | Surender Rajasekaran | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2005-05-26 |
| 1710587415 | Mara S Brown | Registered Nurse | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-10-30 |
| 1033718044 | Anh Thi Mai Huynh | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-10-21 |
| 1427687201 | Kayla Renee Smith | Student in an Organized Health Care Education/Training Program | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-04-03 |
| 1407487424 | Jessica B Doorn | Dietitian, Registered | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-01-29 |
| 1649810391 | Olivia Lauren Presnell | Physician Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2020-01-10 |
| 1316586381 | Keith Minbiole | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1427697499 | Alexander Linkner | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1619514593 | Louise Mcwhirter | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-10 |
| 1316584915 | Professional Treatment Solutions PC | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043410400 | Ajay Anand Khilanani | Anesthesiology | 100 Michigan St. Ne, Grand Rapids, MI 49503 | 2007-07-23 |
| 1386188761 | Brian Trethowan | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2016-12-05 |
| 1245675024 | Payal Boss | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2013-05-07 |
| 1881987006 | Penny Wilton | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2011-05-20 |
| 1417247099 | Rajat Praveenchandra Pareek | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503 | 2011-04-15 |
| 1245487438 | Elora Hussain | Anesthesiology | 100 Michigan St. Ne, Grand Rapids, MI 49503 | 2008-08-19 |
| 1427221787 | Anthony David Olivero | Anesthesiology | 100 Michigan St. Ne, Mc 117, Grand Rapids, MI 49503 | 2008-04-08 |
| 1720294267 | Benjamin Ross Braun | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2007-05-14 |
| 1164637906 | Brent G Whittaker | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503-2560 | 2007-05-14 |
| 1902863871 | Brian Mitchell Boville | Anesthesiology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-04-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.