GINO GULLERMO TAPIA-ZEGARRA


Address: 4900 Mercury Dr, Ste 201, Dearborn, MI 48126-2947
Phone: 3139824388

GINO GULLERMO TAPIA-ZEGARRA (NPI# 1457466724) 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) 1457466724
Entity Type Individual
Full Name GINO GULLERMO TAPIA-ZEGARRA
Credential MD
Practice Address 4900 Mercury Dr
Ste 201
Dearborn
MI 48126-2947
Mailing Address 736 Broadway N
Fargo
ND 58102-4421
Practice Telephone 3139824388
Mailing Telephone 7012342353
Enumeration Date 2006-08-20
Last Update Date 2014-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
4301079651 MI Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
11067 ND Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
49064 MN Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
102616 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 853183000 05

Office Location

Street Address 4900 MERCURY DR
STE 201
City DEARBORN
State MI
Zip Code 48126-2947

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336146828 Irene Signori Internal Medicine 4900 Mercury Dr, 203, Dearborn, MI 48126-2947 2005-06-30
1518335306 Katalee Staley Dietitian, Registered 4900 Mercury Dr, Ste. 201, Dearborn, MI 48126-2947 2015-09-10
1023313905 Mayssoun Hamade Dietitian, Registered 4900 Mercury Dr, Dearborn, MI 48126-2947 2011-01-24
1811138787 Faisal Musa Internal Medicine 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 2009-03-23
1184862138 Sharlene R Bidini Dietitian, Registered 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 2009-01-29
1235288663 Oakwood Ambulatory, LLC Dietitian, Registered 4900 Mercury Dr, Dearborn, MI 48126-2947 2007-01-08
1609938836 Oakwood Ambulatory, LLC Internal Medicine 4900 Mercury Dr, Dearborn, MI 48126-2947 2006-12-14
1558324129 Renu Manthan Pandit Internal Medicine 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 2006-04-06
1285601435 Oscar Signori Internal Medicine 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 2006-03-07
1912974452 Enrique Signori Internal Medicine 4900 Mercury Dr, Suite 100, Dearborn, MI 48126-2947 2006-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194323303 Aq Dental Group Pllc Clinic/Center 10413 Ford Road, Units M & N, Dearborn, MI 48126 2020-10-12
1275148165 Anasthesia Pain Service PC Clinic/Center 15350 Michigan Ave, Dearborn, MI 48126 2020-09-09
1417501958 Ximena Noemi Ortega Behavior Technician 6241 Miller Rd, Dearborn, MI 48126 2019-08-01
1912478827 Abar Alghazali Behavior Technician 4641 Lois, Dearborn, MI 48126 2018-12-17
1861972457 Laboratory Specialists of Michigan, LLC Clinical Medical Laboratory 13530 Michigan Ave Ste 240, Dearborn, MI 48126 2018-08-14
1528544806 Farah Osman Pharmacist 14715 Ford Rd, Dearborn, MI 48126 2018-07-19
1255821328 Loyal Pharmacy LLC Pharmacy 7118 Greenfield Rd St(b), Dearborn, MI 48126 2018-05-15
1952803900 Neetika Kesar Physical Therapist 15051, Ford Road, Dearborn, MI 48126 2018-03-06
1396247607 David Jerome Kurcz Physical Therapy Assistant 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 2018-03-02
1043732506 Shadiya Ahmed Dentist 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 2017-07-16
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003886151 Rama V Thyagarajan Internal Medicine 18181 Oakwood Blvd Ste 101, Medical Office Building, Dearborn, MI 48124-4082 2006-01-23
1588651897 Mustafa Siraj Bohra Internal Medicine 15120 Michigan Ave, Dearborn, MI 48126-2916 2005-10-03
1578014502 Vijayalakshmi Nagappan Md PC Internal Medicine 18181 Oakwood Blvd, Suite 101, Dearborn, MI 48124-5032 2016-10-14
1457808065 Wellness Medical Group, Pllc Internal Medicine 2012 Monroe St, 102, Dearborn, MI 48124-2938 2016-09-01
1720427743 Hind Hadid Internal Medicine 18181 Oakwood Blvd Ste 101, Dearborn, MI 48124-4082 2013-06-24
1548468002 Sunstrum Medical Associates P.C. Internal Medicine 1934 Monroe St, Dearborn, MI 48124-2917 2007-07-06
1922199850 Mustafa S Bohra Md Plc Internal Medicine 15120 Michigan Ave, Dearborn, MI 48126-2916 2006-09-27
1912977927 James Cameron Sunstrum Internal Medicine 1934 Monroe St, Dearborn, MI 48124-2917 2006-01-23
1720068794 Neeraja Varanasi Internal Medicine 18181 Oakwood Blvd, Suite 402, Dearborn, MI 48124-5032 2006-01-18
1669474409 Vijayalkshmi Nagappan Internal Medicine 4900 Mercury Dr, Ste 201, Dearborn, MI 48126-2947 2005-08-11
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Competitor

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City DEARBORN
Zip Code 48126

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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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