ANTHONY IACCO (NPI# 1669636718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669636718 |
| Entity Type | Individual |
| Full Name | ANTHONY IACCO |
| Credential | M.D. |
| Practice Address |
22987 W 13 Mile Rd Beverly Hills MI 48025-4447 |
| Mailing Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Practice Telephone | 2485519090 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
4301092602 | MI | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 4301092602 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
22987 W 13 MILE RD |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1962059139 | Westside Surgery Center, Inc. | Surgery | 8929 Wilshire Blvd Fl 5, Beverly Hills, CA 90211-1954 | 2019-08-22 |
| 1447712831 | Beverly Hills Specialty Surgical Center Inc | Surgery | 8929 Wilshire Blvd Ste 415, Beverly Hills, CA 90211-1953 | 2019-04-03 |
| 1780131011 | Evan Goldstein, D.o., Inc., A Professional Corporation | Surgery | 9033 Wilshire Blvd Ste 200, Beverly Hills, CA 90211-1836 | 2016-09-02 |
| 1477997989 | Rosemary Elinor Morgan | Surgery | 8760 Wilshire Blvd # 200, Beverly Hills, CA 90211-2713 | 2013-04-26 |
| 1528319530 | Julius Peregrino Rivera | Surgery | 5264 N. Cimarron Drive, Beverly Hills, FL 34465 | 2012-10-01 |
| 1952575342 | Som Kohanzadeh | Surgery | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2008-04-16 |
| 1225208408 | Claudia Nazanin Emami | Surgery | 8920 Wilshire Blvd Ste 326, Beverly Hills, CA 90211-2005 | 2008-03-04 |
| 1922213180 | Tuguo Sano | Surgery | 708 N Linden Dr, Beverly Hills, CA 90210-3226 | 2007-05-11 |
| 1295956175 | Gary Lynn Perrault | Surgery | 414 North Camden Dr., Suite 725, Beverly Hills, CA 90210 | 2007-05-01 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
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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.