DR. WALTER STANLEY CUKROWSKI II (NPI# 1962419283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962419283 |
| Entity Type | Individual |
| Full Name | DR. WALTER STANLEY CUKROWSKI II |
| Credential | M.D. |
| Practice Address |
32000 Woodward Ave Suite A Royal Oak MI 48073-0998 |
| Practice Telephone | 2485496000 |
| Practice Fax Number | 2485494923 |
| Mailing Telephone | 2485496000 |
| Mailing Fax Number | 2485494923 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | WC028570 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 1806338551 | 01 |
| MI | 4416216 | 05 | |
| MI | AETNA | 4285676 | 01 |
| MI | CIGNA | 2355976004 | 01 |
| MI | MCARE | B0900 | 01 |
| MI | BLUE CARE NETWORK | P41060 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078587 | Walter J Cukrowski | Ophthalmology | 29877 Telegraph Rd, Suite 100, Southfield, MI 48034-1332 | 2005-10-24 |
| Street Address |
32000 WOODWARD AVE SUITE A |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023091469 | Robert J Mcdonald | Ophthalmology | 32000 Woodward Ave, Royal Oak, MI 48073-0998 | 2005-11-21 |
| 1093255127 | Evergreen Life Chiropractic | Chiropractor | 32000 Woodward Ave, Suite A, Royal Oak, MI 48073-0998 | 2017-03-08 |
| 1902340979 | Kristen Lazzell | Chiropractor | 32000 Woodward Ave, Suite A, Royal Oak, MI 48073-0998 | 2016-12-11 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588092456 | Lawrence Talbot | Ophthalmology | 2917 Vinsetta Blvd, Royal Oak, MI 48073-3379 | 2013-10-31 |
| 1356505010 | Himanshu Aggarwal | Ophthalmology | 814 Mclean Ave, Royal Oak, MI 48067-3430 | 2008-07-11 |
| 1770741381 | Joshua Robinson | Ophthalmology | 3535 W 13 Mile Rd # 344, Royal Oak, MI 48073-6770 | 2008-05-30 |
| 1598785313 | Edward M. Cohn | Ophthalmology | 3535 W. 13 Mile, Ste 506, Royal Oak, MI 48073-6704 | 2006-07-21 |
| 1588604458 | Tamer H Mahmoud | Ophthalmology | 3555 W 13 Mile Rd # Ll-20, Royal Oak, MI 48073-6710 | 2006-06-07 |
| 1407832884 | Lisa Jane Faia | Ophthalmology | 3555 W 13 Mile Rd, Ll-20, Royal Oak, MI 48073-6710 | 2005-12-19 |
| 1023091469 | Robert J Mcdonald | Ophthalmology | 32000 Woodward Ave, Royal Oak, MI 48073-0998 | 2005-11-21 |
| 1386648103 | David Luigi Manzo | Ophthalmology | 621 W 11 Mile Rd, Royal Oak, MI 48067-2201 | 2005-06-09 |
| 1154944437 | Safa Arfeen | Ophthalmology | 3601 W 13 Mile Rd Ofc, Royal Oak, MI 48073-6712 | 2020-05-21 |
| 1679195283 | Truman Louis Silvasi | Ophthalmology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-05-18 |
| 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.