ALFONSO ACOSTA (NPI# 1629072038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629072038 |
| Entity Type | Individual |
| Full Name | ALFONSO ACOSTA |
| Credential | MD |
| Practice Address |
7173 Ilanaway Dr West Bloomfield MI 48324 |
| Mailing Address |
Po Box 250433 West Bloomfield MI 48325 |
| Practice Telephone | 5869290842 |
| Practice Fax Number | 2483660065 |
| Mailing Telephone | 5869290842 |
| Mailing Fax Number | 2483660065 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301064369 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC | 1106335602 | 01 |
| PALMETTO GBA | P00193884 | 01 | |
| MI | GREAT LAKES | 143552 | 01 |
| MI | 4442468 | 05 |
| Street Address |
7173 ILANAWAY DR |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
| 1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
| 1659641645 | Neogenomics Laboratories Inc | Pathology | 6455 Mission, West Bloomfield, MI 48324 | 2012-01-06 |
| 1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
| 1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
| 1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
| 1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
| 1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
| 1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
| 1972547826 | Howard Rosenberg | Chiropractor | 2081 Hiller Rd, West Bloomfield, MI 48324-1136 | 2006-06-15 |
| Find all providers in zip 48324 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093160798 | Joann Riggins-wodhouse | Family Medicine | 3495 Pine Estates Dr, West Bloomfield, MI 48323-1956 | 2016-05-01 |
| 1497027783 | Paul Forman | Family Medicine | 6715 Alden Dr, West Bloomfield, MI 48324-2011 | 2012-02-01 |
| 1861710493 | Healthy Affair, Pllc | Family Medicine | 2600 Lone Pine Rd, West Bloomfield, MI 48323-3642 | 2010-05-06 |
| 1427217363 | Paul Schneider | Family Medicine | 7636 Danbury Cir, West Bloomfield, MI 48322-3569 | 2008-06-05 |
| 1851578397 | Beth Lynn-eisenberg Rubin | Family Medicine | 4408 Westover Dr, West Bloomfield, MI 48323-2874 | 2008-01-28 |
| 1366641573 | Chong U Yi | Family Medicine | 2030 Lochaven Rd, West Bloomfield, MI 48324-3919 | 2007-07-17 |
| 1134326507 | Zivit Cohen | Family Medicine | 7125 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322 | 2007-06-29 |
| 1952508467 | Stephen Simon Friedman | Family Medicine | 2960 Middlebelt Rd, West Bloomfield, MI 48323-1931 | 2007-06-28 |
| 1114136207 | Harry Maisel | Family Medicine | 6052 Cochise Dr, West Bloomfield, MI 48322-2359 | 2007-05-22 |
| 1730208166 | Joshua S. Smith | Family Medicine | 6733 West Maple Rd, Suite 114, West Bloomfield, MI 48322 | 2007-03-28 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48324 |
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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.