AUGUSTINE LOUIS PERROTTA (NPI# 1962611517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962611517 |
Entity Type | Individual |
Full Name | AUGUSTINE LOUIS PERROTTA |
Credential | D.O. |
Practice Address |
215 Woodberry Dr Bloomfield Hills MI 48304-3562 |
Practice Telephone | 2486429362 |
Practice Fax Number | 2486429362 |
Mailing Telephone | 2486429362 |
Mailing Fax Number | 2486429362 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
006365 | MI | Allopathic & Osteopathic Physicians |
Street Address |
215 WOODBERRY DR |
City | BLOOMFIELD HILLS |
State | MI |
Zip Code | 48304-3562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
Find all providers in zip 48304 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710979778 | Vidal D Borromeo | Internal Medicine | 60 W Big Beaver Rd, Ste. 130, Bloomfield Hills, MI 48304-3909 | 2005-08-16 |
1992705495 | Rajul Parikh | Internal Medicine | 43097 Woodward Ave, Ste 100, Bloomfield Hills, MI 48302-5041 | 2005-07-26 |
1295905289 | Seraphim Pallas, Md Pllc | Internal Medicine | 1900 S Telegraph Rd, Suite 201, Bloomfield Hills, MI 48302-0238 | 2008-03-05 |
1316163199 | Ahmad M. Samhouri M.d. P.C. | Internal Medicine | 44038 Woodward Ave, Suite 101, Bloomfield Hills, MI 48302-5035 | 2007-04-18 |
1669549820 | Alaa Owainati Md PC | Internal Medicine | 43700 Woodward Ave, Suite 112, Bloomfield Hills, MI 48302-5058 | 2006-11-30 |
1740208651 | Ahmad M Samhouri | Internal Medicine | 44038 Woodward Ave, Suite 101, Bloomfield Hills, MI 48302-5035 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
Find all providers with the same taxonomy |
City | BLOOMFIELD HILLS |
Zip Code | 48304 |
Please comment or provide details below to improve the information on AUGUSTINE LOUIS PERROTTA.
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.