DR. DEAN KRISTL (NPI# 1790040988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790040988 |
| Entity Type | Individual |
| Full Name | DR. DEAN KRISTL |
| Credential | M.D. |
| Practice Address |
1 Hurley Plz Flint MI 48503-5902 |
| Mailing Address |
1 Hurley Plz 7b Trauma Services Flint MI 48503-5902 |
| Practice Telephone | 8102629355 |
| Practice Fax Number | 8102626341 |
| Mailing Telephone | 8102627260 |
| Mailing Fax Number | 8102626341 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301101331 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
4301101331 | MI | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
4301101331 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1 HURLEY PLZ |
| City | FLINT |
| State | MI |
| Zip Code | 48503-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567053 | Robert Welch | Obstetrics & Gynecology | 1 Hurley Plz, Flint, MI 48503-5902 | 2005-06-13 |
| 1114526076 | Vin Zephyr Swift | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-10-21 |
| 1245843275 | Bashir Imam | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-28 |
| 1639789837 | Hadeel Allam | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-03 |
| 1629687637 | Tazeen Qureshi | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-26 |
| 1831707157 | Samira Ali | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-22 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
| 1609492164 | Monica Rani Julapelly | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-21 |
| 1992321830 | Brittany Radler | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-16 |
| 1073137071 | Kirsten Nicole Bonifacio | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| 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 |
|---|---|---|---|---|
| 1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
| 1881259422 | Harris H Dabideen, M.d., P.C. | Surgery | 1020 Charter Dr Ste A, Flint, MI 48532-3584 | 2019-05-09 |
| 1407184591 | Robert Patrick Bell | Surgery | 4225 Miller Rd, Box 229, Flint, MI 48507-1257 | 2009-11-30 |
| 1518132539 | Bobbi J. Ramp, Md | Surgery | 1121 Villa Linde Ct, Ste 39, Flint, MI 48532-3410 | 2008-04-30 |
| 1437206141 | Michael J Mueller | Surgery | G3286 Beecher Rd, Flint, MI 48532-3614 | 2007-01-04 |
| 1285672691 | Leo Maranon Madarang | Surgery | 3200 Beecher Rd., Ste 02, Flint, MI 48532-3685 | 2006-06-04 |
| 1750328159 | Andrew Warren Saxe | Surgery | 3200 Beecher Rd, Flint, MI 48503-4968 | 2006-06-02 |
| 1477590842 | Michael A Kia | Surgery | 3500 Calkins Rd Ste A, Flint, MI 48532-3500 | 2006-06-02 |
| 1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
| 1225029739 | Tarik J Wasfie | Surgery | 1127 Villa Linde Ct, Flint, MI 48532-3410 | 2005-11-03 |
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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.