NICHOLAS JAMES CORIASSO (NPI# 1194257709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194257709 |
| Entity Type | Individual |
| Full Name | NICHOLAS JAMES CORIASSO |
| Practice Address |
22201 Moross Rd Ste 50 Detroit MI 48236-2166 |
| Practice Telephone | 3133437774 |
| Practice Fax Number | 3133438747 |
| Mailing Telephone | 3133437774 |
| Mailing Fax Number | 3133438747 |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5101025590 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
22201 MOROSS RD STE 50 |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831505528 | Husam Aldin Nayef | Internal Medicine | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2014-07-02 |
| 1386264711 | Khalid Alsayouri | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2020-04-27 |
| 1467072918 | Shatha Alshanqeeti | Internal Medicine | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2020-04-24 |
| 1790305399 | Hussein Khalil Gharib | Internal Medicine | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2020-04-23 |
| 1487274536 | Yazan Alkehef | Internal Medicine | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2020-04-19 |
| 1841819133 | Sani Gandhi | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2020-04-16 |
| 1013578590 | Beshoy Nazmi Nazeer | Internal Medicine | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2019-06-25 |
| 1568023075 | Heidi Stoute | Internal Medicine | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2019-06-25 |
| 1356804645 | Stephen Andrew Craig | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2019-04-12 |
| 1871056358 | Michael Gifford | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1831539469 | Bayoan Manuel Ramos-parra | Internal Medicine | 311 Mack Ave Ste 21025, Detroit, MI 48201-2466 | 2013-06-27 |
| 1972796373 | Mark K. Lahiri | Internal Medicine | 2799 W Grand Blvd., Detroit, MI 48202 | 2007-08-20 |
| 1619181427 | Aiden Abidov | Internal Medicine | 4160 John R St Ste 804, Detroit, MI 48201-2014 | 2007-05-10 |
| 1174740229 | Benjamin A Burroughs | Internal Medicine | 2799 W. Grand Blvd, K-14, Henry Ford Cardiac Surgery Pofessional Building, Detroit, MI 48202 | 2007-04-19 |
| 1225151061 | Dee Dee Wang | Internal Medicine | 2799 W Grand Blvd # K-14, Detroit, MI 48202-2608 | 2007-04-09 |
| 1831267376 | Arif Husain Hakim | Internal Medicine | 14500 W Mcnichols Rd, Detroit, MI 48235-3904 | 2006-12-01 |
| 1528145679 | Zeia Casab Rueda | Internal Medicine | 5662 W Vernor Hwy, Detroit, MI 48209-2158 | 2006-11-01 |
| 1841398880 | Narsimha Reddy Gottam | Internal Medicine | 7633 E Jefferson Ave., Suite #360, Detroit, MI 48214-3732 | 2006-09-21 |
| 1033221056 | Khaled M Sleik | Internal Medicine | 311 Mack Ave Ste 2101, Detroit, MI 48201-2466 | 2006-08-31 |
| 1992817076 | Pritpal Singh Puri | Internal Medicine | Harper Hospital 3990john R, C/o Medical Affairs, Detroit, MI 48201-2403 | 2006-08-31 |
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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.