DOMINIC A CUSUMANO (NPI# 1447243779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447243779 |
| Entity Type | Individual |
| Full Name | DOMINIC A CUSUMANO |
| Credential | MD |
| Practice Address |
28295 Schoenherr Rd Ste C Warren MI 48088-4300 |
| Practice Telephone | 5865736669 |
| Practice Fax Number | 5865736667 |
| Mailing Telephone | 5865736669 |
| Mailing Fax Number | 5865736667 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301407063 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0E06364 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033637459 | Dominic Anthony Cusumano Iv | Physical Therapist | 48875 Hayes Rd, Shelby Twp, MI 48315-4405 | 2017-09-06 |
| Street Address |
28295 SCHOENHERR RD STE C |
| City | WARREN |
| State | MI |
| Zip Code | 48088-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790162022 | Renal Treatment Centers Illinois Inc | Clinic/Center | 28295 Schoenherr Rd, Suite A, Warren, MI 48088-4300 | 2015-05-06 |
| 1619112539 | Georgeta Zamfirescu | Technician, Other | 28295 Schoenherr Rd, Warren, MI 48088-4300 | 2008-12-05 |
| 1073621835 | Eastpointe Internists, P.C. | Surgery | 28295 Schoenherr Rd, Ste C, Warren, MI 48088-4300 | 2006-08-29 |
| 1265441729 | Mark A Thompson | Physician Assistant | 28295 Schoenherr Rd, Suite C, Warren, MI 48088-4300 | 2006-08-05 |
| 1023079530 | Kidney Centers of Michigan LLC | Clinic/Center | 28295 Schoenherr Rd, Ste A, Warren, MI 48088-4300 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
| Find all providers in zip 48088 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1316347917 | Gerald F Daneshvar Md Pllc | Internal Medicine | 13201 Stephens Rd Ste F, Warren, MI 48089-4340 | 2014-09-02 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1457798829 | Manuela Belda Hamaoui | Internal Medicine | 34 Mountain Blvd Bldg C, Warren, NJ 07059-2640 | 2013-05-26 |
| 1124464268 | Kelli Lynne Virgin | Internal Medicine | 11855 E 12 Mile Rd Ste 400, Warren, MI 48093-3471 | 2013-05-16 |
| 1780029074 | Ez Rest Re-hab Center Inc. | Internal Medicine | 25932 Dequindre Rd Ste C, Warren, MI 48091-1071 | 2013-05-01 |
| 1043516636 | Paolo Augusto Salvatore | Internal Medicine | 28 Helen St, Warren, NJ 07059-5817 | 2011-01-31 |
| 1861710154 | Heather Lynn Franke | Internal Medicine | 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 | 2010-05-11 |
| 1437399326 | Charles Hammond Mcgowen | Internal Medicine | 90 Oak Tree Ln Se, Warren, OH 44484-5611 | 2009-03-05 |
| 1710151782 | Richard M Liss | Internal Medicine | 6 Debby Ln, Warren, NJ 07059-5013 | 2008-04-21 |
| 1679751564 | Hoover Medical Clinic PC | Internal Medicine | 31690 Hoover, Warren, MI 48093 | 2008-02-04 |
| Find all providers in WARREN | ||||
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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.