ARIEL WAITZMAN MD PLLC (NPI# 1386819746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386819746 |
| Entity Type | Organization |
| Organization Name | ARIEL WAITZMAN MD PLLC |
| Practice Address |
15212 Michigan Ave Dearborn MI 48126-3497 |
| Practice Telephone | 3135828853 |
| Practice Fax Number | 3135826417 |
| Mailing Telephone | 3135828853 |
| Mailing Fax Number | 3135826417 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | DR. ARIEL ANDRE WAITZMAN (PHYSICIAN) |
| Authorized Official Telephone | 3135828853 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301071017 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS-MI | 0826005 | 01 |
| MI | 4329765 | 05 |
| Street Address |
15212 MICHIGAN AVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679552525 | Cindy Wang | Optometrist | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2006-01-10 |
| 1518116862 | Kellie Patricia Kornmiller | Audiologist | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2008-09-11 |
| 1477728848 | Frederick L Lopatin Do PC | Otolaryngology | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2008-04-28 |
| 1932374394 | Dearborn Ear Nose and Throat Clinic | Otolaryngology | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2008-04-28 |
| 1093904864 | Alaina Kronenberg, M.d.,plc | Ophthalmology | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2007-10-17 |
| 1386711547 | Associated Eye Physicians of Dearborn PC | Optometrist | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2006-11-30 |
| 1609890375 | Dearborn Hearing Aids Inc | Audiologist | 15212 Michigan Ave, Dearborn Hearing Aids Inc, Dearborn, MI 48126-3497 | 2006-07-27 |
| 1013956556 | Stanley Chase Grandon | Ophthalmology | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2006-06-06 |
| 1790731339 | Alaina L Kronenberg | Ophthalmology | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2006-05-25 |
| 1821069444 | John August Fink | Specialist | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2006-01-31 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639282163 | Masri Clinic for Laser & Cosmetic | Otolaryngology | 13530 Michigan Avenue, Suite 150, Dearborn, MI 48126 | 2006-08-17 |
| 1871989327 | Thaiduong H Cung | Otolaryngology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2015-04-11 |
| 1477728848 | Frederick L Lopatin Do PC | Otolaryngology | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2008-04-28 |
| 1932374394 | Dearborn Ear Nose and Throat Clinic | Otolaryngology | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2008-04-28 |
| 1609052885 | Midwest Health Center PC | Otolaryngology | 5050 Schaefer Rd, Dearborn, MI 48126-3249 | 2008-01-17 |
| 1174727580 | Roger Sabah Toma | Otolaryngology | 2421 Monroe St, Suite 201, Dearborn, MI 48124-3043 | 2007-06-12 |
| 1578764551 | Mahdi Abdelatif Shkoukani | Otolaryngology | 18101 Oakwood Blvd, Suite 402, Dearborn, MI 48124-4089 | 2007-05-29 |
| 1487855391 | Masri Clinic for Laser & Cosmetic | Otolaryngology | 13530 Michigan Ave, Suite 150, Dearborn, MI 48126 | 2007-05-29 |
| 1568670156 | Michael Adelard Carron | Otolaryngology | 18101 Oakwood Blvd, Suite 402, Dearborn, MI 48124-4089 | 2007-05-18 |
| 1679649040 | Werner C. Roennecke | Otolaryngology | Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | 2006-11-28 |
| 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.