ENRIQUE CRIADO-PALLARES (NPI# 1053411793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053411793 |
| Entity Type | Individual |
| Full Name | ENRIQUE CRIADO-PALLARES |
| Credential | MD |
| Practice Address |
4201 Campus Ridge Drive Midland MI 48640 |
| Practice Telephone | 9897945240 |
| Practice Fax Number | 9894885886 |
| Mailing Telephone | 9897945240 |
| Mailing Fax Number | 9894885886 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301086932 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301086932 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4201 CAMPUS RIDGE DRIVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541441 | Wilfred Lewis Vander Roest | Internal Medicine | 4201 Campus Ridge Drive, Midland, MI 48640 | 2005-07-12 |
| 1538511571 | Kathryn E Esch | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2016-07-01 |
| 1952793622 | Steven Laporte | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-03-04 |
| 1790177707 | Devon Brodie | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2015-02-27 |
| 1407259658 | Erik Kuhl | Physician Assistant | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-10-02 |
| 1689082406 | Ardeth Greene | Registered Nurse | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-07-24 |
| 1790196145 | Sharon Hakes | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-05-19 |
| 1487077301 | Jamie Trumble | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2014-01-29 |
| 1609217603 | Jennifer A Muzzy | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2013-07-08 |
| 1861775959 | Stephanie Marie Mallord | Nurse Practitioner | 4201 Campus Ridge Drive, Midland, MI 48640 | 2011-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369618 | Omar Purves Haqqani | Surgery | 2125 Ridgewood Dr, Midland, MI 48642-5863 | 2008-06-16 |
| 1144384934 | Roger Belizaire | Surgery | 2004 W Ohio Ave, Midland, TX 79701-5946 | 2006-12-19 |
| 1003298340 | Vascular Health Clinics Pllc | Surgery | 2125 Ridgewood Dr, Midland, MI 48642-5863 | 2015-06-23 |
| 1174913917 | Patrick Coffey | Surgery | 2125 Ridgewood Dr, Midland, MI 48642-5836 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
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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.