DANIEL S TISMAL (NPI# 1477867174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477867174 |
| Entity Type | Individual |
| Full Name | DANIEL S TISMAL |
| Credential | MD |
| Practice Address |
212 S Sullivan Ave Fremont MI 49412-1548 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2319243300 |
| Mailing Telephone | 6164866790 |
| Mailing Fax Number | 6164866702 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301097214 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
212 S SULLIVAN AVE |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070982 | Newaygo County General Hospital Association | Emergency Medicine | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2005-06-01 |
| 1447788757 | Jennifer Campbell | Nurse Practitioner | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2017-05-31 |
| 1558712240 | Lindsay Ann Schmiedeknecht | Obstetrics & Gynecology | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2016-06-24 |
| 1124491964 | Katie Ann Vanheck | Advanced Practice Midwife | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2015-11-02 |
| 1659753101 | Kelly Barcheski | Internal Medicine | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2015-06-22 |
| 1225415151 | Jehanna Shaelah Erho | Obstetrics & Gynecology | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2015-04-29 |
| 1063836963 | Newaygo County General Hospital Association | General Acute Care Hospital | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2014-02-12 |
| 1093147241 | Katherine Mccormick | Obstetrics & Gynecology | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2013-07-30 |
| 1700121068 | Leah Marie Bartolameolli | Physical Therapist | 212 S Sullivan Ave, Fremont, MI 49412 | 2012-11-27 |
| 1679824361 | Michael E Havens | Physician Assistant | 212 S Sullivan Ave, Fremont, MI 49412-1548 | 2012-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
| Find all providers in zip 49412 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1811243892 | Pushpa Dewanimal Jagtiani | Internal Medicine | 702 Patriot Place, Fremont, CA 94539 | 2012-07-27 |
| 1245563030 | Hemant D Patel Inc | Internal Medicine | 2287 Mowry Ave Ste I, Fremont, CA 94538-1622 | 2009-09-10 |
| 1154554228 | Hanh Thi Tran | Internal Medicine | 2299 Mowry Ave Ste 3c, Fremont, CA 94538-1621 | 2009-08-24 |
| 1801045679 | Sumbella Farhan Baqai | Internal Medicine | 34326 Thornhill Ct, Fremont, CA 94555-2364 | 2008-09-16 |
| 1750540621 | Adil N Irani | Internal Medicine | 1900 Mowry Ave., Suite 309, Fremont, CA 94538-1722 | 2008-06-05 |
| 1508054479 | Ana M. Elisei | Internal Medicine | 1423 Onondaga Pl, Fremont, CA 94539-6711 | 2007-10-04 |
| 1588855613 | Martin F Sears Md | Internal Medicine | 1935 E Military Ave, Suite 2, Fremont, NE 68025-5489 | 2007-08-05 |
| 1619179504 | Jevon Tang | Internal Medicine | 2557 Mowry Ave Ste 12, Fremont, CA 94538-1614 | 2007-06-03 |
| 1194937649 | Gloria Gaeta Carreon | Internal Medicine | 1900 Mowry Ave Ste 202, Fremont, CA 94538-1722 | 2007-05-04 |
| Find all providers in FREMONT | ||||
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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.