DR. SIRIMAS SIRISUTH (NPI# 1407810047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407810047 |
Entity Type | Individual |
Full Name | DR. SIRIMAS SIRISUTH |
Credential | M.. |
Practice Address |
122 Grant St Niles MI 49120-2281 |
Mailing Address |
122 Grant St P. O. Box 458 Niles MI 49120-2281 |
Practice Telephone | 2696848210 |
Mailing Telephone | 2696848210 |
Enumeration Date | 2006-04-12 |
Last Update Date | 2007-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301041402 | MI | Allopathic & Osteopathic Physicians |
Street Address |
122 GRANT ST |
City | NILES |
State | MI |
Zip Code | 49120-2281 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649743535 | Amanda Marie Haines | Dental Hygienist | 122 Grant St, Niles, MI 49120-2281 | 2019-01-03 |
1447701008 | Lakeland Immediate Care Center | Clinic/Center | 122 Grant St, Niles, MI 49120-2281 | 2016-10-19 |
1629497631 | Maritza Iamalette Salvo-ale | Dentist | 122 Grant St, Niles, MI 49120-2281 | 2014-04-08 |
1699086744 | Lakeland Housecalls | General Practice | 122 Grant St, Niles, MI 49120-2281 | 2010-06-23 |
1871777227 | Four Flags Health Ventures,inc | Health Maintenance Organization | 122 Grant St, Niles, MI 49120-2281 | 2007-12-20 |
1922142561 | Joy Shen Ling | Internal Medicine | 122 Grant St, Niles, MI 49120-2281 | 2007-02-16 |
1417981549 | Barbara J Boyd | Internal Medicine | 122 Grant St, Niles, MI 49120-2281 | 2006-07-11 |
1568407930 | Niles Professional Services, Inc | Internal Medicine | 122 Grant St, Niles, MI 49120-2281 | 2006-06-18 |
1619933546 | Lakeland Nuclear Imaging, Inc. | Nuclear Medicine | 122 Grant St, Niles, MI 49120-2281 | 2006-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
Find all providers in zip 49120 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
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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.