BRYANT T ITTIARA (NPI# 1871829069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871829069 |
| Entity Type | Individual |
| Full Name | BRYANT T ITTIARA |
| Credential | D.O. |
| Practice Address |
18707 Ecorse Rd Allen Park MI 48101-2255 |
| Mailing Address |
416 James Cir Royal Oak MI 48067-4545 |
| Practice Telephone | 7346823309 |
| Practice Fax Number | 7346821488 |
| Mailing Telephone | 7346040017 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | L1593593 | MI | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
5101017919 | MI | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
5101017919 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
18707 ECORSE RD |
| City | ALLEN PARK |
| State | MI |
| Zip Code | 48101-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184126633 | Monica Yalamanchili | Physical Therapist | 7445 Regina Ave, Allen Park, MI 48101 | 2018-03-01 |
| 1669928685 | Saad Khizar Usmani | Dentist | 6760 Allen Road, Suite 101, Allen Park, MI 48101 | 2016-08-30 |
| 1265778385 | Rx Discount Pharmacy | Pharmacy | 6811 Allen Rd, Allen Park, MI 48101 | 2012-12-18 |
| 1841540333 | Semaj Amia Dunson | Counselor | 4485 Willow Cove Blvd, Apt-a2, Allen Park, MI 48101 | 2012-09-12 |
| 1356678866 | Stephanie A Rea | Family Medicine | 8338 Allen Road, Suite 101, Allen Park, MI 48101 | 2009-11-05 |
| 1811133952 | John A. Newell | Family Medicine | 14839 Markese, Allen Park, MI 48101 | 2008-12-19 |
| 1497924203 | Kimberly Ann Polchlopek | Massage Therapist | 7740 Allen Rd, Allek Park, MI 48101 | 2008-02-26 |
| 1518177997 | Dana Marie Olson | Obstetrics & Gynecology | Oakwood Healthcare Center Allen Park, 15915 Southfield Road, Suite 100, Allen Park, MI 48101 | 2007-05-23 |
| 1316164098 | Early Solutions Clinic, LLC | Clinic/Center | 3555 Fairland Blvd., Allen Park, MI 48101 | 2007-04-20 |
| 1730201427 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3565 Fairlane Dr., Allen Park, MI 48101 | 2007-04-04 |
| Find all providers in zip 48101 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903294 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 4302 Bay City Rd, Midland, MI 48642-6014 | 2019-10-15 |
| 1437715232 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 705 E Frank St, Caro, MI 48723 | 2019-05-16 |
| 1083175913 | Bella Treatment Center PC | Pain Medicine | 28763 Northwestern Hwy Ste 100, Southfield, MI 48034-1842 | 2019-03-25 |
| 1245795848 | Advanced Pain Management Specialists, LLC | Pain Medicine | 46325 W 12 Mile Rd Ste 335, Novi, MI 48377-2464 | 2019-02-07 |
| 1356738686 | Genesee Pain Associates PC | Pain Medicine | 4468 Oakbridge Dr, Flint, MI 48532-5422 | 2015-04-24 |
| 1457745150 | Strategy Anesthesia Michigan Pllc | Pain Medicine | 13460 Fort St, Southgate, MI 48195-1138 | 2015-03-20 |
| 1407115884 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 2500 Niles Rd Ste 3, Saint Joseph, MI 49085-3225 | 2012-05-07 |
| 1386902013 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 24 N Saint Joseph Ave Ste B, Niles, MI 49120-2263 | 2012-05-01 |
| 1225302821 | Pain Clinic Management Group, Pllc | Pain Medicine | 35634 Dequindre Rd, Sterling Heights, MI 48310-4288 | 2012-02-28 |
| 1740567163 | Northville Pain Specialists Plc | Pain Medicine | 215 E. Main Street, Suite 201, Northville, MI 48167-1686 | 2011-11-14 |
| Find all providers with the same taxonomy | ||||
| City | ALLEN PARK |
| Zip Code | 48101 |
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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.