DR. ANDREW I. DZUL (NPI# 1295828358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295828358 |
Entity Type | Individual |
Full Name | DR. ANDREW I. DZUL |
Credential | M.D. |
Practice Address |
21000 E 12 Mile Rd Suite 111 Saint Clair Shores MI 48081-1116 |
Mailing Address |
21000 E 12 Mile Rd Ste 111 St Clair Shores MI 48081 |
Practice Telephone | 5867797610 |
Mailing Telephone | 5867797610 |
Mailing Fax Number | 5864452523 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2012-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
AD044645 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | 040000850 | 01 | |
BLUE CARE NETWORK | 0500117 | 01 | |
MI | BLUE CROSS BLUE SHIELD | 0405001172 | 01 |
CIGNA | 2340163001 | 01 | |
CARE CHOICES | 101664 | 01 | |
GREAT LAKES | 103904 | 01 | |
MI | BLUE SHIELD GROUP | 040E061920 | 01 |
MCARE | C4865 | 01 | |
HEALTH ALLIANCE PLAN | A76344 | 01 | |
AETNA | 4033205 | 01 |
Street Address |
21000 E 12 MILE RD SUITE 111 |
City | SAINT CLAIR SHORES |
State | MI |
Zip Code | 48081-1116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255330486 | Jennifer Kay Appleyard | Allergy & Immunology | 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1116 | 2005-07-19 |
1881203479 | Andrew Michael Keltz | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2020-07-29 |
1770120230 | Holly Ann Reckers | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-12-04 |
1578037966 | Maria Juliana Codino | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-01-18 |
1942779921 | Maria D Samsa | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2018-11-19 |
1801331210 | Katja N Tandarich | Nurse Practitioner | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2016-12-21 |
1053854133 | Jean P. Skeffington | Speech-Language Pathologist | 21000 E 12 Mile Rd, Suite111, Saint Clair Shores, MI 48081-1116 | 2016-11-22 |
1134588254 | Alyssa Domenica Baker | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2016-02-17 |
1316350192 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2014-06-09 |
1720404775 | Sean Anthony Cassleman | Internal Medicine | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2014-03-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
Find all providers in zip 48081 |
Taxonomy Code | 207YX0602X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngic Allergy |
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851332712 | Douglas F Wacker | Otolaryngology | 1323 E Michigan Ave, Lansing, MI 48912-2104 | 2006-06-09 |
1588616650 | Ali F Mafee | Otolaryngology | 33330 Palmer Rd, Westland, MI 48186-5529 | 2006-05-17 |
1316901739 | Gerald L Gilroy | Otolaryngology | 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 | 2006-04-13 |
1033198502 | James T. Bishop, M.d., P.C. | Otolaryngology | 844 S Washington Ave, Ste 1800, Holland, MI 49423-7186 | 2006-01-12 |
1922001791 | James Tegart Bishop | Otolaryngology | 388 Garden Ave, Ste 100, Holland, MI 49424-7186 | 2005-05-24 |
1598980773 | Paul Henri Belanger | Otolaryngology | 268 Seminole Rd, Norton Shores, MI 49444-3733 | 2007-04-14 |
1235250978 | Gerald L Gilroy Do PC | Otolaryngology | 231 W Lake Lansing Rd, Suite 500 Asher Court, East Lansing, MI 48823-8472 | 2007-04-02 |
1609939743 | Jeffrey Scott Milewski | Otolaryngology | 2551 Mcleod Dr S, Saginaw, MI 48604-2827 | 2006-12-19 |
City | SAINT CLAIR SHORES |
Zip Code | 48081 |
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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.