DR. DIMITRE H DIMITROV (NPI# 1770746695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770746695 |
| Entity Type | Individual |
| Full Name | DR. DIMITRE H DIMITROV |
| Credential | MD |
| Practice Address |
2215 Fuller Rd Dept Of Ann Arbor MI 48105-2303 |
| Practice Telephone | 7347697100 |
| Practice Fax Number | 7348453235 |
| Mailing Telephone | 7347697100 |
| Mailing Fax Number | 7348453235 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 284300000X | Special Hospital | Hospitals | ||
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
446 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
53629 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHYSICAIN LICENSE | 4301081427 | 01 |
| Street Address |
2215 FULLER RD DEPT OF |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982824512 | Psychiatric Physicians, Pllc | Psychiatry & Neurology | 4461 Grand Haven Road, Muskegon, MI 49441 | 2007-04-26 |
| 1124244157 | Thomas H. Vandoren | Psychiatry & Neurology | 5320 Holiday Ter Ste 3, Kalamazoo, MI 49009-2100 | 2007-04-18 |
| 1164744595 | Van Buren Community Mental Health Physician Professional Group | Psychiatry & Neurology | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2010-02-26 |
| 1861608937 | Birmingham Counseling Center, P.C. | Psychiatry & Neurology | 1137 Holland St, Birmingham, MI 48009-6849 | 2007-05-15 |
| 1548476435 | Steven Feldman | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2007-05-15 |
| 1568680866 | Ronald William Rosenberg | Psychiatry & Neurology | 6431 Inkster Rd, Suite 226, Bloomfield Hills, MI 48301-1310 | 2007-04-23 |
| 1790901429 | Kai Anderson | Psychiatry & Neurology | 1632 Stone St, Saginaw, MI 48602 | 2007-04-18 |
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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.