MIRIAM DOLORES PELLERITO (NPI# 1396764544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396764544 |
| Entity Type | Individual |
| Full Name | MIRIAM DOLORES PELLERITO |
| Credential | MD |
| Practice Address |
3346 Lennon Road Regional Medical Imaging Flint MI 48507-1015 |
| Mailing Address |
3346 Lennon Road Suite 2 Regional Medical Imaging Flint MI 48507-1015 |
| Practice Telephone | 8107321919 |
| Practice Fax Number | 8107321945 |
| Mailing Telephone | 8107321919 |
| Mailing Fax Number | 8107323740 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301055194 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34995800 | 05 |
| Street Address |
3346 LENNON ROAD REGIONAL MEDICAL IMAGING |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720053473 | Walter Davis Harper | Radiology | 3346 Lennon Road, Flint, MI 48507-1015 | 2006-02-17 |
| 1033131206 | Jeanne Koistinen Hicks | Specialist | 3346 Lennon Road, Flint, MI 48507-1015 | 2006-07-24 |
| 1467474635 | Jeffrey Scott Mitchinson | Specialist | 3346 Lennon Road, Flint, MI 48507-1015 | 2006-07-24 |
| 1861429037 | John P Dobson | Radiology | 3346 Lennon Road, Suite 2, Flint, MI 48507-1015 | 2006-06-26 |
| 1437101631 | William C Melton | Specialist | 3346 Lennon Road, Suite 2 Regional Medical Imaging, Flint, MI 48507-1015 | 2006-05-16 |
| 1376509851 | Randy David Hicks | Specialist | 3346 Lennon Road, Flint, MI 48507-1015 | 2006-04-25 |
| 1700841418 | Christopher Clark Murray | Radiology | 3346 Lennon Road, Suite 2, Flint, MI 48507-1015 | 2006-04-18 |
| 1720042674 | Joel P Kimelman | Radiology | 3346 Lennon Road, Flint, MI 48507-1015 | 2006-04-15 |
| 1265496764 | David Arthur Strahle | Specialist | 3346 Lennon Road, Flint, MI 48507-1015 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083866008 | Lily Lim | Radiology | 1173 Dyemeadow Ln, Flint, MI 48532-2316 | 2008-10-22 |
| 1982856951 | D/b/a Bristol Road Imaging Center | Radiology | G 5067 W Bristol Rd, Suite K, Flint, MI 48507 | 2008-10-21 |
| 1619135712 | Barry J. Rosen, D.o.,pc | Radiology | 1517 Wildwood Ct, Flint, MI 48532-2079 | 2008-05-27 |
| 1477583227 | Vikram Rao | Radiology | 2370 S Linden Rd, Suite 300, Flint, MI 48532-5424 | 2006-07-04 |
| 1043254584 | Charles Avila King II | Radiology | 1241 Dyemeadow Ln, Flint, MI 48532-2319 | 2006-06-15 |
| 1144263831 | Apparao Mukkamala | Radiology | Hurley Medical Center, One Hurley Plaza, Radiology Dept, Flint, MI 48503 | 2006-06-13 |
| 1790750966 | Diagnostic Radiology Associates of Flint PC | Radiology | 501 S Ballenger Hwy, Suite B, Flint, MI 48532-3641 | 2006-02-21 |
| 1720053473 | Walter Davis Harper | Radiology | 3346 Lennon Road, Flint, MI 48507-1015 | 2006-02-17 |
| 1427057967 | Regional Medical Imaging, P.C. | Radiology | 3346 Lennon Rd, Flint, MI 48507-1015 | 2005-07-18 |
| 1811386527 | Evolution Imaging | Radiology | 3400 Fleckenstein Rd, Suite C, Flint, MI 48507-3042 | 2015-01-19 |
| Find all providers in FLINT | ||||
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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.