ELLY LANDOLFI (NPI# 1659501559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659501559 |
| Entity Type | Individual |
| Full Name | ELLY LANDOLFI |
| Credential | MD |
| Practice Address |
468 Cadieux Rd Grosse Pointe MI 48230-1507 |
| Mailing Address |
15455 Lakeside Village Dr Apt 103 Clinton Twp MI 48038-3539 |
| Practice Telephone | 3134731615 |
| Mailing Telephone | 2487015380 |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301095115 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
468 CADIEUX RD |
| City | GROSSE POINTE |
| State | MI |
| Zip Code | 48230-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834470 | Manaf Madoun | Hospitalist | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2005-07-12 |
| 1689291270 | Martin Daniel Theriault | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2020-06-29 |
| 1598388167 | Michael Lin | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2020-05-18 |
| 1548882327 | Lawrence Pan | Family Medicine | 468 Cadieux Rd, Gme Office, Grosse Pointe, MI 48230-1507 | 2020-05-14 |
| 1750920716 | Gina Lopiccolo | Nurse Practitioner | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-12-22 |
| 1609412634 | Rachel Pierce | Physician Assistant | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-11-25 |
| 1275194524 | Christopher Lee Keller | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-06-27 |
| 1922666379 | Raymond Robert Ackerman | Family Medicine | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-05-31 |
| 1255994778 | William Beaumont Hospital | Pharmacy | 468 Cadieux Rd, Room 00734, Grosse Pointe, MI 48230-1507 | 2019-04-19 |
| 1083171441 | Adrienne Marie Dusky | Physical Therapist | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2019-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1962924886 | Michelle Kathleen Harr | Speech-Language Pathologist | 1356 Bishop Rd, Grosse Pointe Park, MI 48230 | 2017-07-12 |
| 1356711766 | Jerry George Idicula | Behavioral Analyst | 1332 Maryland St, Grosse Pointe Park, MI 48230 | 2015-09-28 |
| 1578939930 | Sierra Gray | Contractor | 890 Cadieux, Grosse Pointe, MI 48230 | 2015-08-19 |
| 1023413853 | Cristovao Bartolo Carreira | Psychologist | 15450 E. Jefferson, Suite 200, Grosse Pointe, MI 48230 | 2014-10-22 |
| 1215217005 | Nui Loa PC | Community/Behavioral Health | 502 Pemberton, Grosse Pointe Park, MI 48230 | 2011-08-24 |
| 1295041846 | Greg Washington LLC | Psychiatry & Neurology | 793 Harcourt, Grosse Pointe Park, MI 48230 | 2010-08-20 |
| 1649445867 | Philip Charles Hessburg | Ophthalmology | 15415 E Jefferson Street, Grosse Pointe Park, MI 48230 | 2008-04-29 |
| 1437289071 | John Boyd Krisel Jr. | Social Worker | 15200 E Jefferson, Suite 105, Grosse Pointe Park, MI 48230 | 2007-03-06 |
| 1346382819 | Robert James Sisler | Social Worker | 15200 East Jefferson, Suite 105, Grosse Pointe Park, MI 48230 | 2007-02-13 |
| Find all providers in zip 48230 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045808 | Aparna Hariharan | Pathology | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2009-07-14 |
| 1477577138 | Vaishali Milind Pansare | Pathology | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 2006-07-27 |
| 1710919188 | Beatrice H Muglia | Pathology | 468 Cadieux Road, Grosse Pointe, MI 48230-1507 | 2006-07-07 |
| 1699707067 | Bsc Pathology Associates PC | Pathology | 468 Cadieux Road, Grosse Pointe, MI 48230-1507 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1942756234 | Ahmed Alrajjal | Pathology | 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 | 2016-08-28 |
| 1649630435 | Barry Dewitt | Pathology | 11345 Greenview Dr, Fenton, MI 48430-2591 | 2016-03-07 |
| 1922467919 | Wilford E. Maldonado | Pathology | 4722 Huron Hill Dr, Okemos, MI 48864-2052 | 2016-02-18 |
| 1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
| 1710329206 | Yulei Shen | Pathology | 1546 Brentwood Dr, Troy, MI 48098-2713 | 2013-07-24 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1942552336 | Kusum Kumar | Pathology | 3885 Highwood Pl, Okemos, MI 48864-3790 | 2012-10-09 |
| 1073864898 | Karel Kithier | Pathology | 5022 Temple Drive, Sterling Heights, MI 48310-4067 | 2012-09-20 |
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE |
| Zip Code | 48230 |
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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.