THERESA MARIE CIROCCO (NPI# 1023172699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023172699 |
| Entity Type | Individual |
| Full Name | THERESA MARIE CIROCCO |
| Credential | N.P. |
| Practice Address |
2799 W Grand Blvd Rm E235 Detroit MI 48202-2608 |
| Mailing Address |
11919 Chase Blvd Livonia MI 48150-5039 |
| Practice Telephone | 3139162417 |
| Practice Fax Number | 3139168416 |
| Mailing Telephone | 7349532665 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704168297 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2799 W GRAND BLVD RM E235 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205293057 | Karen Milana | Nurse Practitioner | 201 E Kirby St, Detroit, MI 48202-4048 | 2016-01-25 |
| 1568858793 | Michelle Wagner-smith | Nurse Practitioner | John D. Dingell Vamc, 4646 John R Street, Detroit, MI 48201-1916 | 2015-04-14 |
| 1477836419 | Helene June Krouse | Nurse Practitioner | 5557 Cass Ave, Cohn 146, Detroit, MI 48202-3615 | 2011-09-26 |
| 1639466055 | Wsu Physician Group | Nurse Practitioner | 4201 St. Antoine - University Health Center, Pod 5a, Detroit, MI 48201 | 2011-07-06 |
| 1356595441 | Danyelle Syvette Armour | Nurse Practitioner | 6001 W. Outer Drive, Suite 207, Detroit, MI 48235 | 2008-11-17 |
| 1336226422 | Naima Latriese Ogletree | Nurse Practitioner | 2799 W Grand Blvd # Cfp-547, Detroit, MI 48202-2608 | 2006-11-01 |
| 1982642054 | Kelly K Wietecha | Nurse Practitioner | Harper Professional Bldg Ste 1007, 4160 John R, Detroit, MI 48201 | 2006-06-02 |
| 1023055019 | Lisa Binns-emerick | Nurse Practitioner | 4201 St Antoine Ste 5b, Drh Rosa Parks Wellness Institute for Sr Health, Detroit, MI 48201 | 2006-05-31 |
| 1104863000 | Rebecca Hunnicutt Farren | Nurse Practitioner | Childrens Hospital Mi Pediatric Administration, 3901 Beaubien, Detroit, MI 48201 | 2006-05-31 |
| 1881681955 | Patricia Barszenski | Nurse Practitioner | 7733 E Jefferson Ave, 1350, Detroit, MI 48214-3707 | 2005-10-04 |
| Find all providers in DETROIT | ||||
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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.