DR. AILEEN ELIZABETH M AMPIL ANTONIO


Address: 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607
Phone: 6166855050

DR. AILEEN ELIZABETH M AMPIL ANTONIO (NPI# 1982991683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982991683
Entity Type Individual
Full Name DR. AILEEN ELIZABETH M AMPIL ANTONIO
Other Name DR. AILEEN ANTONIO-SANTOS
Credential M.D.
Practice Address 245 Cherry St Se
Suite 204
Grand Rapids
MI 49503-4607
Mailing Address 1900 44th St Se
Kentwood
MI 49508-5008
Practice Telephone 6166855050
Practice Fax Number 6166853050
Mailing Fax Number 6163913130
Enumeration Date 2011-07-01
Last Update Date 2016-10-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 4301097930 MI Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
4301097930 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 245 CHERRY ST SE
SUITE 204
City GRAND RAPIDS
State MI
Zip Code 49503-4607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699768820 Stacyann Steen Family Medicine 245 Cherry St Se, Ste 100, Grand Rapids, MI 49503 2005-08-23
1831691138 Douglas Craig Sjoerdsma Jr. Physical Therapist 245 Cherry St Se, Grand Rapids, MI 49503-4607 2018-03-02
1821537143 Malorie Venlet Social Worker 245 Cherry St Se, Suite 200, Grand Rapids, MI 49503-4607 2017-02-20
1902275506 Margaret Vandewater Nurse Practitioner 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 2015-09-24
1356764674 Hackley Healthcare Equipment Durable Medical Equipment & Medical Supplies 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 2014-01-22
1649601295 Shanna Henderson Physician Assistant 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 2013-12-09
1417208463 Stephanie Dora Smith Nurse Practitioner 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 2012-09-29
1427303452 Mary Jo Richard Nurse Practitioner 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 2012-07-16
1134483340 Crystal Ann Zilo Obstetrics & Gynecology 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 2012-07-02
1144517939 Marie P Nizienski Physician Assistant 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 2011-06-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134738545 Tank Consultation Pllc Psychiatry & Neurology 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 2020-07-31
1518377746 Audrey Kay Sanders Psychiatry & Neurology 220 Cherry St Se # 1, Grand Rapids, MI 49503 2014-04-28
1598101115 Rebecca Smith Tang Psychiatry & Neurology 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 2013-05-22
1497901110 Jahandar Saifollahi Psychiatry & Neurology Saddle Back Center, Building 751-e Kenmore Avenue, S.e., Grand Rapids, MI 49546-2391 2008-08-13
1528008281 Herman Sullivan Psychiatry & Neurology 200 Cherry St Se, Grand Rapids, MI 49503 2006-06-08
1144269432 Rajeev Deveshwar Psychiatry & Neurology 25 Michigan St Ne Ste 6100, Spectrum Health Medical Group Neurovascular/stroke Offi, Grand Rapids, MI 49503-2561 2006-06-05
1881641694 Timothy Thoits Psychiatry & Neurology 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 2006-05-27
1255388062 John Visser Psychiatry & Neurology 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 2006-05-27
1295792026 Neurological Associates of West Mi, PC Psychiatry & Neurology 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 2006-04-26
1467427088 Evelyn Panagsagan Navarro Psychiatry & Neurology 3200 Eagle Park Dr Ne Ste 103, Grand Rapids, MI 49525 2006-02-17
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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Dataset Information

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.

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