MICHAEL JOHN CONNOLLY (NPI# 1861889909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861889909 |
| Entity Type | Individual |
| Full Name | MICHAEL JOHN CONNOLLY |
| Credential | M.D. |
| Practice Address |
1500 E Medical Center Dr Ann Arbor MI 48109-5000 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349364000 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301107735 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125856 | Michael Gerard Connolly | Psychoanalyst | 214 W 97th St, New York, NY 10025-5620 | 2018-05-19 |
| 1003240177 | Michael Connolly | Behavioral Analyst | 1826 Markham Ave Ne # B, Tacoma, WA 98422-1015 | 2013-08-26 |
| 1629163456 | Michael Joseph Connolly | Dentist | 393a River Rd, Fair Haven, NJ 07704-3029 | 2006-10-04 |
| 1669423554 | Michael G Connolly Jr. | Internal Medicine | 1022 1st Street North, Suite 401, Alabaster, AL 35007-8718 | 2006-05-15 |
| 1821058801 | Michael L. Connolly | Dentist | 6200 N Hiawatha Ave, Suite 650, Chicago, IL 60646-4309 | 2006-03-24 |
| 1518941665 | Michael J Connolly | Internal Medicine | 8826 E Tanque Verde Rd, Tucson, AZ 85749-9607 | 2005-12-02 |
| 1003303181 | Michael Connolly | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-1921 | 2018-04-16 |
| 1144737362 | Michael B Connolly | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2018-01-09 |
| 1689089005 | Michael Kevin Connolly | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2014-06-24 |
| 1588933881 | Michael Peter Connolly | Registered Nurse | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2011-12-16 |
| Street Address |
1500 E MEDICAL CENTER DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475836 | Tami L. Remington | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-0999 | 2005-05-23 |
| 1578164810 | Jessica Leigh Bailey | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-11-03 |
| 1518565910 | Yoshiaki Ota | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-10-16 |
| 1366058356 | Paulo Zupelari Goncalves | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-09-16 |
| 1306459466 | Jesse P Spalding | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1992318919 | Batoul Berri | Audiologist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-28 |
| 1063024891 | Nathan Allen Johnson | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-22 |
| 1780296699 | Yoav Hammer | Internal Medicine | 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 | 2020-08-21 |
| 1891306262 | Sarah Garnai | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-11 |
| 1386254936 | Ryan James Sutherlan | Pharmacist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467873240 | Terry Mark Silver | Radiology | 3835 Windemere Dr, Ann Arbor, MI 48105-2891 | 2013-12-23 |
| 1679899645 | Paul Chen Jr. | Radiology | 1500 E. Medical Center Drive, B1 D502, University of Michigan Health System, Ann Arbor, MI 48109-5030 | 2010-04-15 |
| 1245467232 | Jeffery Matthew Meadows | Radiology | 1500 E Medical Center Dr, Department of Radiology - Vir, University of Michigan Health System, Ann Arbor, MI 48109-5648 | 2009-06-17 |
| 1760650451 | Maureen Elaine Forrest | Radiology | 3893 S Michael Rd, Ann Arbor, MI 48103-9345 | 2008-02-14 |
| 1023203411 | Stephen Michael Ascherl | Radiology | 2375 Newport Rd, Ann Arbor, MI 48103-2262 | 2007-09-10 |
| 1689896029 | Raymond Joseph Whiteman | Radiology | 4568 Cottonwood Dr, Ann Arbor, MI 48108 | 2007-05-03 |
| 1376660811 | Deepa R Pai | Radiology | 1500 E Medical Center Dr,3rd Floor Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 | 2007-03-22 |
| 1932244530 | Ramon Sanchez | Radiology | 1500 E Medical Center Dr, 3rd Floor Recp A, Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 | 2007-02-21 |
| 1922177724 | William George Keating | Radiology | 2647 Pin Oak Drive, Ann Arbor, MI 48103 | 2006-11-07 |
| 1528011897 | Francis J Pauli | Radiology | 853 Asa Gray Dr, Ann Arbor, MI 48105-2566 | 2006-05-18 |
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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.