DR. SAMUEL RICHARD DISMOND JR. (NPI# 1942213483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942213483 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL RICHARD DISMOND JR. |
| Credential | M.D. |
| Practice Address |
2 Hurley Plz Suite 108 Flint MI 48503-5903 |
| Practice Telephone | 8102386565 |
| Practice Fax Number | 8102380611 |
| Mailing Telephone | 8102386565 |
| Mailing Fax Number | 8102380611 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301024102 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4582905 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899570 | Samuel Dismond | General Practice | 436 14th St Ste 1529, Oakland, CA 94612-2703 | 2005-05-24 |
| Street Address |
2 HURLEY PLZ SUITE 108 |
| City | FLINT |
| State | MI |
| Zip Code | 48503-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386611432 | Jay C Holmes | Obstetrics & Gynecology | 2 Hurley Plz, Suite 109, Flint, MI 48503-5903 | 2006-03-07 |
| 1154859007 | Chrystal Racquel Harris | Internal Medicine | 2 Hurley Plz, Flint, MI 48503-5903 | 2017-05-23 |
| 1477088904 | Hurley Medical Center | Internal Medicine | 2 Hurley Plz, Suite 211, Flint, MI 48503-5903 | 2017-04-21 |
| 1962848044 | Omari Jahi Young | Obstetrics & Gynecology | 2 Hurley Plz, Flint, MI 48503-5903 | 2013-05-16 |
| 1952644122 | Philip James Mcdonald | Internal Medicine | 2 Hurley Plz, Flint, MI 48503-5903 | 2013-04-05 |
| 1457631012 | Atinuke Lilian Akinpeloye | Obstetrics & Gynecology | 2 Hurley Plz, Suite 101, Dept of Obstetrics and Gynecology, Flint, MI 48503-5903 | 2011-08-26 |
| 1720368186 | Haamid Syed | Internal Medicine | 2 Hurley Plz, Flint, MI 48503-5903 | 2011-08-17 |
| 1710296348 | Hurley Medical Center | General Acute Care Hospital | 2 Hurley Plz, Suite # 101, Flint, MI 48503-5903 | 2010-09-30 |
| 1194034918 | David Harold Pyatt II | Obstetrics & Gynecology | 2 Hurley Plz, Suite 101, Flint, MI 48503-5903 | 2010-09-28 |
| 1346468725 | Obstetrics and Gynecologic Associates of Flint PC | Obstetrics & Gynecology | 2 Hurley Plz, Suite 204, Flint, MI 48503-5903 | 2007-04-23 |
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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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580834 | Anas Siddiqui | Family Medicine | G1080 N Ballenger Hwy Ste 1, Flint, MI 48504-4427 | 2017-07-10 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1609138486 | Timothy L Holcomb | Family Medicine | 20208 St Hwy 155 S, Flint, TX 75762-5600 | 2012-06-08 |
| 1821366808 | John Joseph Doyle IIi | Family Medicine | 1001 Woodlawn Park Dr, Flint, MI 48503-2762 | 2011-12-06 |
| 1275858862 | Michigan Healthcare Center | Family Medicine | G-3267 Beecher Road, Flint, MI 48532-3615 | 2010-04-07 |
| 1730412677 | Marcy A Klein | Family Medicine | 1314 S. Linden Rd., Flint, MI 48532-3456 | 2009-09-10 |
| 1144484221 | Edward Gomez-seoane Md & Silvia Gomez-seoane Md PC | Family Medicine | 5060 Villa Linde Pkwy, Flint, MI 48532-3411 | 2008-07-17 |
| 1154512630 | John L Stoker D.o. P.C. | Family Medicine | G 5142 Mill Er Rd, Flint, MI 48507 | 2007-08-08 |
| 1619181716 | James Brown Md Plc | Family Medicine | 1104 S Linden Rd, Ste 2, Flint, MI 48532-3452 | 2007-05-09 |
| 1811073489 | Edward J Conley Do PC | Family Medicine | G3494 Beecher Rd, Flint, MI 48532 | 2006-10-27 |
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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.