RICHARD CIESLAK (NPI# 1366479040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366479040 |
| Entity Type | Individual |
| Full Name | RICHARD CIESLAK |
| Credential | MD |
| Practice Address |
19401 Hubbard Drive Suite 207 Henry Ford Health System Dearborn MI 48126 |
| Practice Telephone | 3139828261 |
| Practice Fax Number | 3139828205 |
| Mailing Telephone | 3139828261 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 43010161508 | MI | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
43010161508 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2378930 | 05 | |
| COMMERCIAL-COMMERCIAL NUMBER | RC061508 | 01 | |
| CHAMPUS-CHAMPUS | RC061508 | 01 |
| Street Address |
19401 HUBBARD DRIVE SUITE 207 HENRY FORD HEALTH SYSTEM |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174949036 | Henry Ford Health Systems | Clinic/Center | 19401 Hubbard Drive, Dearborn, MI 48126 | 2014-03-14 |
| 1053551812 | Deborah Susan Hochberg | Nurse Practitioner | 19401 Hubbard Drive, Nephrology, Dearborn, MI 48126 | 2009-03-05 |
| 1619113719 | Carly Tarr | Emergency Medicine | 19401 Hubbard Drive, Dearborn, MI 48126-2699 | 2008-12-20 |
| 1023152147 | Michael T Price | Physician Assistant | 19401 Hubbard Drive, Henry Ford Hospital Fairlaine Er, Dearborn, MI 48126 | 2007-02-20 |
| 1912043126 | Richard Bruce Evans | Physician Assistant | 19401 Hubbard Drive, Dearborn, MI 48126 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1164785325 | Wasfeh Musheinesh | Emergency Medicine | 13846 Wellesley St, Dearborn, MI 48126 | 2012-06-21 |
| 1639307408 | Richard Garrett Hanzel | Emergency Medicine | 1557 Venice St, Dearborn, MI 48124-4063 | 2009-06-30 |
| 1316906142 | Ali Hassan | Emergency Medicine | 23455 Michigan Ave, Dearborn, MI 48124-1908 | 2006-03-21 |
| 1508844200 | Joyce M Blazejewski | Emergency Medicine | 4700 Schaefer Rd., Dearborn, MI 48126-3698 | 2006-01-04 |
| 1528417573 | Khalil Mroue | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-10 |
| 1528416211 | Jaber Ali Abdo | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2016-06-02 |
| 1669854659 | Daniel John Deweert | Emergency Medicine | 19401 Hubbard Dr, Dearborn, MI 48126 | 2015-06-25 |
| 1962884122 | Mark Shievitz | Emergency Medicine | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2015-06-24 |
| 1124430574 | Madiha Khurshid | Emergency Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2014-05-20 |
| Find all providers in DEARBORN | ||||
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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.