RITA J DIBIASE


Address: 4100 John R St, Detroit, MI 48201-2013
Phone: 8005276266

RITA J DIBIASE (NPI# 1700340924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700340924
Entity Type Individual
Full Name RITA J DIBIASE
Credential NP-C
Practice Address 4100 John R St
Detroit
MI 48201-2013
Mailing Address Po Box 775419
Chicago
IL 60677-5419
Practice Telephone 8005276266
Practice Fax Number 3135768627
Enumeration Date 2019-01-23
Last Update Date 2019-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care 		4704138510 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4100 JOHN R ST
City DETROIT
State MI
Zip Code 48201-2013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518966316 Cynthia Hilda Marsack Nurse Practitioner 4100 John R St, Karmanos Cancer Ctr Midlevels, Detroit, MI 48201-2013 2005-07-14
1467062950 Amy Josephine Skotzke Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2020-08-09
1700421294 Nicole Gonzalez Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-11-08
1881237485 Joseph Charles Ellul Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2019-10-26
1841840113 Thoracic Surgical Services, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) 4100 John R St, Detroit, MI 48201-2013 2019-09-18
1568016244 Ellen Wong Dillard Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-07-30
1336634468 Linsday Anne Cleveland Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-07-01
1407347214 Diana Rudnev Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-05-29
1912408915 Yaukpala Ina Gofan Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-02-24
1821518572 Barbara Ann Karmanos Cancer Hospital Orthopaedic Surgery 4100 John R St, Detroit, MI 48201-2013 2017-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1811202310 Ronda Lyn Bryant Nurse Practitioner 17600 Ryan Rd, Detroit, MI 48212-1155 2010-08-10
1104902915 Kathleen Ann Brady Nurse Practitioner Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202 2006-10-27
1619914199 Sheryl Jean Marentette Nurse Practitioner 4646 John R St Ste A3118, Detroit, MI 48201-1916 2006-06-01
1952918740 Lisa Colombo Nurse Practitioner 22101 Moross Rd, Detroit, MI 48236-2148 2020-09-26
1558976928 Ashley Mary Asmar Nurse Practitioner 3990 John R St, Detroit, MI 48201-2018 2020-09-12
1881218790 Erin Marie Dinnell Nurse Practitioner 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-05
1780205179 Sabastan Patrick Knight Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-04-27
1225673114 Marlon Nicdao Nurse Practitioner 3990 John R St, Detroit, MI 48201-2018 2019-11-14
1265077408 Megan Nicole Hodson Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2689 2019-11-12
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

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.

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