DR. ANDREA AMALFITANO (NPI# 1134133762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134133762 |
| Entity Type | Individual |
| Full Name | DR. ANDREA AMALFITANO |
| Credential | D.O. |
| Practice Address |
1600 W Grand River Ste 2 Okemos MI 48864 |
| Mailing Address |
804 Service Rd # A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5173496560 |
| Practice Fax Number | 5173495796 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323928 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
5101011076 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1134133762 | 05 | |
| MI | 4891301 | 05 |
| Street Address |
1600 W GRAND RIVER STE 2 |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568721850 | Timothy Moss | Medical Genetics | 25 Michigan St Ne Ste 2000, Grand Rapids, MI 49503-2526 | 2012-05-08 |
| 1679869143 | Stacie Diane Adams | Medical Genetics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823 | 2011-06-23 |
| 1497960397 | Allison Meredith Jay | Medical Genetics | 19229 Mack Ave Ste 18, Grosse Pointe Woods, MI 48236-2857 | 2007-05-14 |
| 1699712174 | Gerald L. Feldman | Medical Genetics | 3950 Beaubien St Fl 3, Children's Hospital of Michigan, Detroit, MI 48201-2120 | 2006-06-01 |
| 1912944919 | Erawati Vishwas Bawle | Medical Genetics | 3901 Beaubien Blvd, Children's Hospital of Michigan, Div of Genetics., Detroit, MI 48201-2061 | 2006-05-31 |
| 1750732590 | Stephanie Campbell | Medical Genetics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2016-06-22 |
| 1427411131 | Linda Zhong Rossetti | Medical Genetics | 25 Michigan St Ne Ste 2000, Grand Rapids, MI 49503-2526 | 2016-03-30 |
| 1609256064 | Elizabeth Grace Ames | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-06-01 |
| 1932519253 | Kristen Nicole Lee | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-08 |
| 1194067470 | Amanda Barone Pritchard | Medical Genetics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-03-25 |
| Find all providers with the same taxonomy | ||||
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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.