JOHN L DAMIANI (NPI# 1578534384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578534384 |
Entity Type | Individual |
Full Name | JOHN L DAMIANI |
Credential | DO |
Practice Address |
214 E Elm Ave Ste 101 Monroe MI 48162 |
Mailing Address |
214 E Elm Ave Ste 101 Monroe MI 48162-2678 |
Practice Telephone | 7342439620 |
Practice Fax Number | 7342433565 |
Mailing Telephone | 7342439620 |
Mailing Fax Number | 7342433565 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2019-10-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | 34012721 | OH | Allopathic & Osteopathic Physicians |
Y | 208800000X | Urology | 5101010249 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM | 0H210660 | 01 |
MI | 4265480 | 05 | |
MI | BCBSM | 0E06273 | 01 |
OH | MEDICARE PIN | H592500 | 01 |
OH | 0238703 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
905 N Macomb St Ste 3, Monroe, MI 481623076 | (734) 243-9620 | 7342433565 |
Street Address |
214 E ELM AVE STE 101 |
City | MONROE |
State | MI |
Zip Code | 48162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
Find all providers in zip 48162 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154855740 | Georgia Urology Pa | Urology | 2161 W Spring St., Suite C, Monroe, GA 30655-3196 | 2017-04-20 |
1184089989 | Georgia Urology Pa | Urology | 2151b West Spring St, Ste 210, Monroe, GA 30655-3115 | 2015-12-21 |
1629267216 | Twenty First Century Urology Pllc | Urology | 47 Mansion Ridge Blvd, Monroe, NY 10950-5569 | 2007-10-18 |
1376629014 | Alan Howard Lieberman | Urology | 52 Constitution Dr, Monroe, NJ 08831-7935 | 2006-10-27 |
1760418396 | Urology Clinic of Northeast Louisiana - A Medical Corporation | Urology | 711 Saint John Street, Monroe, LA 71201-8435 | 2006-06-24 |
1891737284 | John Michael Cage | Urology | 711 Saint John St, Monroe, LA 71201-8435 | 2006-06-12 |
1891773297 | Richard Guy Sowden | Urology | 1503 E Franklin St, Monroe, NC 28112-5161 | 2006-01-05 |
1669474128 | Don F Marx | Urology | 3510 Magnolia Cv, Suite 170, Monroe, LA 71203-2372 | 2005-08-15 |
1003816166 | F. Peter Nicholson | Urology | 2161 W Spring St Ste C, Monroe, GA 30655-3196 | 2005-07-29 |
1710983812 | Ashwin H Shah | Urology | 730 N Macomb St, Ste 319, Monroe, MI 48162 | 2005-06-23 |
Find all providers in MONROE |
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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.