DR. MICHAEL A DEROSA (NPI# 1770589194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770589194 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A DEROSA |
| Credential | DO |
| Practice Address |
3694 Starrs Centre Dr Canfield OH 44406-9514 |
| Practice Telephone | 3307021310 |
| Practice Fax Number | 3307021344 |
| Mailing Telephone | 3307021310 |
| Mailing Fax Number | 3307021344 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2011-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
34-00-B028-D | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2409834 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215442827 | Michael A Derosa | Hearing Instrument Specialist | 200 E Chicago Ave Ste 102, Westmont, IL 60559-1756 | 2017-12-05 |
| 1235290990 | Michael D Derosa | Dentist | 156 Woodrow Ave Ste 2, Saint Clairsville, OH 43950-1181 | 2006-12-13 |
| 1386723559 | Michael Peter Derosa | Chiropractor | 208 Lawrence Ave, Lawrence, NY 11559-1207 | 2006-11-06 |
| 1427351691 | Michael Derosa | Pharmacist | 114 Central St, Ipswich, MA 01938-1952 | 2010-12-09 |
| 1568499283 | Michael J Derosa | Obstetrics & Gynecology | 621 S New Ballas Rd, Suite 101a, Saint Louis, MO 63141-8232 | 2006-06-27 |
| 1972568921 | Michael Neil Derosa | Social Worker | 101 Airport Rd, Westerly, RI 02891-3432 | 2006-04-20 |
| 1013971985 | Michael Joseph Derosa | Nurse Practitioner | 423 E 23rd St, New York, NY 10010-5011 | 2006-04-17 |
| 1275524662 | Michael A Derosa | Ophthalmology | 2347 Lenora Church Rd, Snellville, GA 30078-3232 | 2005-11-03 |
| Street Address |
3694 STARRS CENTRE DR |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-9514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194085811 | Phyllis M Trust | Family Medicine | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 | 2012-05-29 |
| 1942344387 | Endocrinology Associates of Ohio, LLC | Internal Medicine | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 | 2007-02-19 |
| 1922149103 | Jill Renee Barton | General Practice | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 | 2007-02-09 |
| 1578617072 | Gianna Fasline | Dietitian, Registered | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 | 2007-01-22 |
| 1487601753 | Mary Louise Dale | Physician Assistant | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942344387 | Endocrinology Associates of Ohio, LLC | Internal Medicine | 3694 Starrs Centre Dr, Canfield, OH 44406-9514 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161406 | Marsal Patient Care and Wellness, LLC | Internal Medicine | 225 E State Route 14 Ste 102, Columbiana, OH 44408-8490 | 2020-07-06 |
| 1891296562 | Mohammad Shalabe | Internal Medicine | 2100 W Central Ave Ste 200, Toledo, OH 43606-3817 | 2018-02-27 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1104224757 | Rossana Danese | Internal Medicine | 36321 Oakview Ln, Avon, OH 44011-2275 | 2014-12-15 |
| 1720493190 | Yuanjie Mao | Internal Medicine | 75 Hospital Dr Ste 200, Athens, OH 45701-2859 | 2014-06-24 |
| 1518398866 | Central Ohio Primary Care Physicians Inc | Internal Medicine | 570 Polaris Pkwy, 250, Westerville, OH 43082-7900 | 2013-12-11 |
| 1982035978 | Janice Douglas | Internal Medicine | 41 Haskell Dr, Bratenahl, OH 44108-1169 | 2013-12-02 |
| 1831531052 | Carmen Polanco Santos | Internal Medicine | 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 | 2013-07-30 |
| 1437599958 | Saira Varghese Mammen | Internal Medicine | 16761 Saint Clair Ave # 2, East Liverpool, OH 43920-9400 | 2013-06-28 |
| 1437410982 | Summa Physicians Inc. | Internal Medicine | 1 Park West Blvd Ste 350, Akron, OH 44320-4226 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
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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.