DAVID TYLER MONTALDI (NPI# 1760631980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760631980 |
| Entity Type | Individual |
| Full Name | DAVID TYLER MONTALDI |
| Credential | D.O. |
| Practice Address |
1 Genesys Pkwy Medical Education Department Grand Blanc MI 48439-8065 |
| Practice Telephone | 7705700707 |
| Mailing Telephone | 7705700707 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101017838 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028947 | David H Montaldi | Obstetrics & Gynecology | 787 Campbell Hill St Nw, Marietta, GA 30060-1133 | 2005-10-25 |
| Street Address |
1 GENESYS PKWY MEDICAL EDUCATION DEPARTMENT |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333498 | Statcare PC | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2005-06-01 |
| 1699389627 | Onyinyechi V Anukem | Psychologist | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-09-08 |
| 1437763737 | Jordan Thomas Bozzo | Nurse Anesthetist, Certified Registered | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-09-03 |
| 1871106302 | Tiffany Marie Polzin | Psychologist | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-25 |
| 1790396349 | Aark Hospitalist Pllc | General Acute Care Hospital | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-16 |
| 1306456801 | Matthew Thomas Keely | Registered Nurse | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-08-09 |
| 1134747314 | Hamza Chaudhry | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-07-14 |
| 1881211480 | Ahmed Elzein | Student in an Organized Health Care Education/Training Program | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-30 |
| 1932726445 | Guntas Sangha | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-30 |
| 1003432212 | Soraya Darwood | Family Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114195633 | Sonia Verzosa Ecarma | General Practice | 10800 S Saginaw St, Grand Blanc, MI 48439-8120 | 2008-02-19 |
| 1790215077 | Benjamin Zachary Wolf | General Practice | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2017-06-19 |
| 1740717685 | Colby James Brooks | General Practice | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2017-05-22 |
| 1952675670 | M Maureau Do Pllc | General Practice | 8382 Holly Rd, Ste 2, Grand Blanc, MI 48439-1971 | 2012-02-27 |
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|---|---|---|---|---|
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| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
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| City | GRAND BLANC |
| Zip Code | 48439 |
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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.