RUSSELL DIPONIO (NPI# 1003893330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003893330 |
| Entity Type | Individual |
| Full Name | RUSSELL DIPONIO |
| Credential | MD |
| Practice Address |
4444 W Bristol Rd Ste 150 Flint MI 48507 |
| Mailing Address |
4444 W Bristol Rd Ste 150 Flint MI 48507-3161 |
| Practice Telephone | 8102309500 |
| Practice Fax Number | 8102300169 |
| Mailing Telephone | 8102309500 |
| Mailing Fax Number | 8102300169 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301405760 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | E-7300 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 191500001 | 05 | |
| MI | 4374949 | 05 | |
| AR | MEDICARE | 5AN64C474 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Mclain St, Suite B, Newport, AR 721123661 | 8705237563 | 8705237581 |
| Street Address |
4444 W BRISTOL RD STE 150 |
| City | FLINT |
| State | MI |
| Zip Code | 48507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003806688 | Dianne Junior | Nurse Practitioner | 4444 W Bristol Rd Ste 150, Flint, MI 48507 | 2005-10-25 |
| 1285122713 | Lu Ying Hei | Nurse Practitioner | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2018-04-30 |
| 1851525802 | Barbara Lee Ciesliga | Internal Medicine | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2009-05-05 |
| 1396980330 | Amy Gene Zimmerman | Nurse Practitioner | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2008-12-04 |
| 1861456071 | Todd Alan Lockwitz | Internal Medicine | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1952923575 | Onlinecarecom LLC | Internal Medicine | 4225 Miller Rd Ste 338, Flint, MI 48507-1257 | 2020-05-18 |
| 1063907020 | Shima Sidahmed | Internal Medicine | 1 Hurley Plz Ste 212, Flint, MI 48503-5902 | 2018-06-22 |
| 1114276474 | Orimisan Samuel Adekolujo | Internal Medicine | G-3230 Beecher Rd, Suite 2, Flint, MI 48532-3604 | 2012-09-02 |
| 1669729042 | Praveen Bheemanathini | Internal Medicine | 1 Hurley Plz # 3w, Flint, MI 48503-5902 | 2012-08-05 |
| 1982927018 | Internal Medicine Associates of Miller Rd | Internal Medicine | 5097 Miller Rd, Flint, MI 48507-1066 | 2010-03-03 |
| 1477784379 | Narendra Babu Veerapaneni | Internal Medicine | 801 Tuuri Pl Apt 106, Flint, MI 48503-2440 | 2009-07-27 |
| 1255569901 | Ramesh Chandra Yarlagadda | Internal Medicine | G3200 Beecher Rd, Suite 2, Flint, MI 48532-3651 | 2009-07-01 |
| 1942481643 | Mustafa H Mahmoud Hassan | Internal Medicine | 1335 S Linden Rd Ste A, Flint, MI 48532-3420 | 2007-11-21 |
| 1487845871 | Anusoumya Ganapathy | Internal Medicine | 3499 S Linden Rd #g, Suite 2, Flint, MI 48507 | 2007-08-09 |
| 1396935797 | Nada Abdelazim Abdelbasit | Internal Medicine | 5037 Corunna Rd, Flint, MI 48532 | 2007-07-31 |
| Find all providers in FLINT | ||||
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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.