MARISSA JEANINE DEMARTINO (NPI# 1730723321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730723321 |
| Entity Type | Individual |
| Full Name | MARISSA JEANINE DEMARTINO |
| Practice Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Mailing Address |
148 Stonetree Cir Rochester Hills MI 48309-1138 |
| Practice Telephone | 2488985000 |
| Mailing Telephone | 2488821256 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 4704294395 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3601 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
| 1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
| 1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
| 1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
| 1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
| 1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
| 1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
| 1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
| 1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467840512 | Jordan Ford | Nurse Anesthetist, Certified Registered | 610 N Altadena Ave, Royal Oak, MI 48067-1952 | 2014-12-23 |
| 1699951095 | Jennifer Lynn Gruits | Nurse Anesthetist, Certified Registered | 2216 Brockton Ave, Royal Oak, MI 48067-3568 | 2008-01-15 |
| 1851429120 | Joseph Nelson | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile, 400 Fsc, Royal Oak, MI 48073-6769 | 2007-03-01 |
| 1558339960 | Lisa Licavoli | Nurse Anesthetist, Certified Registered | 3601 W 31 Mile Rd, 400 Fsc - PCs, Royal Oak, MI 48073-6769 | 2006-03-10 |
| 1790751683 | Virginia Hagood | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 | 2006-02-28 |
| 1720639925 | Stefanie Marie Glasgow | Nurse Anesthetist, Certified Registered | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-09-28 |
| 1508414541 | Renzo Arnold | Nurse Anesthetist, Certified Registered | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-09-03 |
| 1548728926 | Paige Morgan Vannoy | Nurse Anesthetist, Certified Registered | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-03-05 |
| 1790249118 | Jacob Bradford Hekker | Nurse Anesthetist, Certified Registered | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-01-30 |
| 1407310097 | Lucas Garrett Pfruender | Nurse Anesthetist, Certified Registered | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-01-28 |
| Find all providers in ROYAL OAK | ||||
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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.