PAUL GRYZENIA (NPI# 1255325262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255325262 |
| Entity Type | Individual |
| Full Name | PAUL GRYZENIA |
| Credential | MD |
| Practice Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Practice Telephone | 2489645190 |
| Mailing Telephone | 2489645190 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
205707 | MA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
1833495 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2041651 | 05 |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892468 | Mary Margaret Guerra | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2005-06-28 |
| 1578163523 | Laura Marie Metz | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-29 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1437756095 | Amanda Michelle Hirsch | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-07 |
| 1467059113 | Scott Matthew Grumeretz | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1285231944 | Brianne Patton | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
| 1720694300 | Justine Marie Doss | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-19 |
| 1649885872 | Sara Dawn Thueme | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-14 |
| 1316561772 | Jodi Marini | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905739 | Jacastillano Pllc | Radiology | 5310 Breeze Hill Pl, Troy, MI 48098-2725 | 2017-11-14 |
| 1811164437 | Faiz D Francis | Radiology | 903 Wesley Dr, Troy, MI 48098-5622 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170221 | Mvc Clinical Practice - Mi PC | Radiology | 7125 Orchard Lake Rd Ste 120, West Bloomfield, MI 48322-3627 | 2019-05-23 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1245664119 | Michigan Institute for Minimally Invasive & Vascular Therapies PC | Radiology | 2370 S Linden Rd Ste 300b, Flint, MI 48532-5429 | 2013-08-28 |
| 1396188595 | Haiying Yu | Radiology | 1215 E Michigan Ave Fl 4, Lansing, MI 48912-1811 | 2013-04-08 |
| 1144549692 | Tatulya Tiwari | Radiology | 1500 E. Medical Center Dr #b1f510k, Rad: Diagnostic Radiology, Ann Arbor, MI 48109-5030 | 2010-05-24 |
| 1851411227 | Chutcharn Kongphanich | Radiology | 1044 Island Drive Ct Apt 104, Ann Arbor, MI 48105-2075 | 2007-03-30 |
| 1629146527 | Advanced Diagnostic Imaging Interventional & Vascular Center | Radiology | 5462 State St, Saginaw, MI 48603-3678 | 2006-12-01 |
| 1780630541 | Michael E Lulenski | Radiology | 22731 Newman St Ste 250, Dearborn, MI 48124-1930 | 2006-05-25 |
| 1922069400 | Progressive Medical Imaging & Minimally Invasive Therapeutics Plc | Radiology | 4200 Fashion Square Blvd, Saginaw, MI 48603-1291 | 2006-04-01 |
| 1639796386 | Vincent Shallal | Radiology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-06-29 |
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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.