ANTHONY FAZI (NPI# 1851743140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851743140 |
| Entity Type | Individual |
| Full Name | ANTHONY FAZI |
| Credential | NP |
| Practice Address |
3601 W 13 Mile Rd Beaumont Hospital - Royal Oak Royal Oak MI 48073-6712 |
| Mailing Address |
130 Town Center Dr Ste 203 Beaumont Medical Staff Affairs Troy MI 48084-1744 |
| Practice Telephone | 2488984021 |
| Practice Fax Number | 2488981473 |
| Mailing Telephone | 2485858218 |
| Mailing Fax Number | 2485858266 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2017-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704289684 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3601 W 13 MILE RD BEAUMONT HOSPITAL - ROYAL OAK |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
| 1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
| 1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
| 1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
| 1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
| 1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
| 1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
| 1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568913069 | Melinda Ferstle | Nurse Practitioner | 400 Walnut Ave, Royal Oak, MI 48073-5309 | 2016-10-19 |
| 1679973101 | Christina Poponea | Nurse Practitioner | 2208 Dallas Ave, Royal Oak, MI 48067-3580 | 2014-09-03 |
| 1255743993 | Heather Soucey | Nurse Practitioner | 629 S Altadena Ave, Royal Oak, MI 48067-2825 | 2014-05-29 |
| 1245537273 | Carlton I Dawes | Nurse Practitioner | 4711 Elmwood Ave, Royal Oak, MI 48073-1550 | 2011-02-28 |
| 1629131644 | Beth L Valmassoi | Nurse Practitioner | 32121 Woodward Ave Ste 200, Royal Oak, MI 48073-0999 | 2006-12-19 |
| 1881166866 | Senior Visits, LLC | Nurse Practitioner | 4711 Elmwood Ave, Royal Oak, MI 48073-1550 | 2019-01-01 |
| 1386024487 | Kristy Marie Byerly | Nurse Practitioner | 221 S Main St, Royal Oak, MI 48067-2653 | 2015-06-03 |
| 1720488943 | Tina Walny | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2014-08-25 |
| 1245593110 | Tiffany Rechandra Johnson | Nurse Practitioner | 3577 W 13 Mile Rd, Royal Oak, MI 48073-6710 | 2012-06-16 |
| 1932343308 | Gwendolyn Michelle Pryor | Nurse Practitioner | 221 S Main St, Suite 201, Royal Oak, MI 48067-2653 | 2009-04-28 |
| Find all providers in ROYAL OAK | ||||
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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.