DR. ERIC ADAM FINE (NPI# 1639445125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639445125 |
| Entity Type | Individual |
| Full Name | DR. ERIC ADAM FINE |
| Credential | M.D. |
| Practice Address |
4200 Whitehall Dr Ste 150 Ann Arbor MI 48105-9694 |
| Mailing Address |
24 Frank Lloyd Wright Dr Lbby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349950308 |
| Mailing Telephone | (734) 747-6766 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301111097 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301111097 | MI | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
4301111097 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0135405 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 Osceola St, Aspirus Keweenaw Hospital, Larium, MI 49913 | 9063376500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174842041 | Eric Michael Fine | Clinical Neuropsychologist | 533 Parnassus Ave, Uc Hall 426, Ucsf Memory and Aging Center, San Francisco, CA 94117 | 2010-05-18 |
| 1538363510 | Eric Fine | Social Worker | 80 N Moore St Apt 13c, New York, NY 10013-2731 | 2007-06-13 |
| 1407931959 | Eric M Fine | Pediatrics | 6401 York Rd, 3rd Floor, Baltimore, MD 21212-2152 | 2006-10-25 |
| Street Address |
4200 WHITEHALL DR STE 150 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992783906 | Sally Villasenor | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2006-01-09 |
| 1326506718 | Callie Seybert | Physician Assistant | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2019-03-05 |
| 1356837504 | Chaz Hernandez | Physician Assistant | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2018-07-10 |
| 1750880589 | Olivia Glidden | Physician Assistant | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2018-02-07 |
| 1386160539 | Amy Lynn Cesnick | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2017-08-19 |
| 1043663743 | Nicole Kremer | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2016-07-18 |
| 1902277932 | Lisa Marie Fetters | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2015-10-16 |
| 1578950804 | Justin Michael Rutt | Family Medicine | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105 | 2015-04-24 |
| 1740682590 | Sarah C Blau | Physician Assistant | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2014-09-24 |
| 1144581166 | Lauren Rae Barhitte | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2012-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1316405103 | Epmg Southwest Michigan Pllc | Emergency Medicine | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-03-11 |
| 1477044279 | Max Griffith | Emergency Medicine | 1500 E Medical Center Dr Tcb1380, Ann Arbor, MI 48109 | 2018-05-29 |
| 1861841926 | Joseph Hamera | Emergency Medicine | 1500 E Medical Center Dr Spc 5360, Ann Arbor, MI 48109-5360 | 2016-06-09 |
| 1922493220 | Farshid Bozorgnia | Emergency Medicine | 1412 Bicentennial Pkwy, Ann Arbor, MI 48108-7918 | 2015-04-02 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| 1760820153 | Michael Thomas Cover | Emergency Medicine | 1500 E, Medical Center Drive, B1 Floor University Hospital Recp Er, Ann Arbor, MI 48109-5301 | 2013-06-07 |
| 1447696968 | James Bernard Grotberg | Emergency Medicine | 3535 Green Ct, Ann Arbor, MI 48105-1579 | 2013-05-13 |
| 1467773929 | Sarah E Tomlinson | Emergency Medicine | 1500 East Medical Center Drive Floor 2, Cs Motts Children's Emergency Medicine, Ann Arbor, MI 48109-4205 | 2010-06-18 |
| 1083944706 | Jane Maginnis Bloom | Emergency Medicine | 537 Elm Street, Ann Arbor, MI 48104-2515 | 2009-12-31 |
| 1952552994 | Robert E Servis | Emergency Medicine | 4420 Varsity Dr, Ann Arbor, MI 48108-2233 | 2008-10-08 |
| Find all providers in ANN ARBOR | ||||
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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.