DOMINIK STAROSTA (NPI# 1891994935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891994935 |
| Entity Type | Individual |
| Full Name | DOMINIK STAROSTA |
| Credential | M.D |
| Practice Address |
Henry Ford Hospital 2799 W. Grand Blvd Detroit MI 48202-2608 |
| Mailing Address |
2799 W Grand Blvd K15 Pulmonary/critical Care Detroit MI 48202-2608 |
| Practice Telephone | 3139161888 |
| Mailing Telephone | 3139868713 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301090935 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
4301090935 | MI | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
4301090935 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
HENRY FORD HOSPITAL 2799 W. GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104902915 | Kathleen Ann Brady | Nurse Practitioner | Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202 | 2006-10-27 |
| 1427686096 | Jeewanjot Grewal | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | 2020-03-30 |
| 1881181451 | Taha Ashraf | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital, 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2018-04-18 |
| 1982150181 | Gorji Etaponaobase Ekwese | Nurse Practitioner | Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202 | 2016-08-28 |
| 1609261098 | Derek Rizzo | Anesthesiology | Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202 | 2015-04-02 |
| 1306112776 | Jamal F Saleh | Psychiatry & Neurology | Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202 | 2012-03-29 |
| 1962600346 | Michael M Haley | Radiology | Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI 48202-2608 | 2007-07-06 |
| 1699971580 | Jamie A Sutton | Internal Medicine | Henry Ford Hospital, 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2007-06-26 |
| 1881896645 | Rana Lee Awdish | Internal Medicine | Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | 2007-06-04 |
| 1356542195 | Zachary Paul Price | Anesthesiology | Henry Ford Hospital, 2799 W. Grand Boulevard, Detroit, MI 48202-2608 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558829333 | Mustafizur Choudhury LLC | Internal Medicine | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2019-03-11 |
| 1326572066 | Mais Abdou | Internal Medicine | 3990 John R St, Detroit, MI 48201-2018 | 2017-04-19 |
| 1407198187 | Muhammad Usman | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-03-20 |
| 1356653489 | Divya Gopalan Venkat | Internal Medicine | 4646 John R St, Detroit, MI 48201 | 2010-07-06 |
| 1922262484 | Sarah Jai-eun Lee | Internal Medicine | 4201 Saint Antoine St, Suite 5v, Detroit, MI 48201-2153 | 2008-07-14 |
| 1881896645 | Rana Lee Awdish | Internal Medicine | Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | 2007-06-04 |
| 1679692578 | Rose Lavender Jumah | Internal Medicine | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-03-29 |
| 1831223346 | University Internal Medicine Specialists | Internal Medicine | 4201 St. Antoine, Suite 4c, Detroit, MI 48201 | 2007-03-15 |
| 1952434821 | Geneva Beatrice Tatem | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-03-13 |
| 1811065345 | Michael J. Simoff | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-01 |
| Find all providers in DETROIT | ||||
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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.