RONALD ARTHUR WASSERMAN (NPI# 1790701373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790701373 |
| Entity Type | Individual |
| Full Name | RONALD ARTHUR WASSERMAN |
| Credential | MD |
| Practice Address |
325 E Eisenhower Pkwy Suite 100 Ann Arbor MI 48108-5721 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7347635459 |
| Mailing Telephone | 7349382047 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 4301075156 | MI | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301075156 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4129110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346268067 | Ronald B Wasserman | Internal Medicine | 365 Lennon Ln, Suite 200, Walnut Creek, CA 94598-5910 | 2006-07-18 |
| 1194715979 | Ronald E Wasserman | Psychiatry & Neurology | 450 W Chew St, Sigal Center 2nd Floor, Allentown, PA 18102-3434 | 2005-10-24 |
| Street Address |
325 E EISENHOWER PKWY SUITE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315960 | Kimberly Chin Bialik | Psychologist | 325 E Eisenhower Pkwy, Suite 100, Ann Arbor, MI 48108-5721 | 2005-06-09 |
| 1164049094 | Richard Edmund Harris | Acupuncturist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2020-06-26 |
| 1639664147 | Mary B Dumas | Occupational Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-06-27 |
| 1043713506 | Linda Hogan Krus | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-12 |
| 1609379148 | Amber Richardson | Occupational Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-12 |
| 1588166219 | Patricia Moulis | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-08 |
| 1730682477 | Katie Duffey Shea | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-08 |
| 1235631037 | Nina Strang | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-07 |
| 1518469360 | Lori Dimitroff Graf | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-07 |
| 1053813097 | Kari Katerberg | Physical Therapist | 325 E Eisenhower Pkwy, Ann Arbor, MI 48108-3364 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
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| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733008 | John Sung Ha | Anesthesiology | 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 | 2015-06-19 |
| 1033521356 | Tyler Goetz | Anesthesiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-21 |
| 1114158722 | Sharad B Patel | Anesthesiology | 2900 Golfside Dr, Suite-2, Ann Arbor, MI 48108-1410 | 2009-07-30 |
| 1174759930 | Peter Stiles | Anesthesiology | 1500 E Medical Center Dr, 1h247, Ann Arbor, MI 48109-5000 | 2009-06-08 |
| 1437257557 | Michigan Pain Institute, Pllc | Anesthesiology | 2006 Hogback Rd, Suite 5, Ann Arbor, MI 48105-9750 | 2006-09-20 |
| 1619942596 | Shamas Moheyuddin | Anesthesiology | 3120 Professional Dr, Ann Arbor, MI 48104-5131 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568811 | Flint Pain Specialists Pllc | Anesthesiology | 1345 Willowdale Ct Ste B, Flint, MI 48532-4737 | 2018-05-14 |
| 1548624984 | Ayman Tarabishy Md Pllc | Anesthesiology | 400 Plymouth Rd, F2, Plymouth, MI 48170-1482 | 2016-04-12 |
| 1841603362 | Clinton Pain and Anesthesia Plc | Anesthesiology | 16100 19 Mile Road, Clinton Township, MI 48038 | 2014-06-03 |
| 1255743738 | Advanced Pain Specialists | Anesthesiology | 18100 Oakwood Blvd Ste 203, Dearborn, MI 48124-4085 | 2014-06-02 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1265876403 | Medical Business Consultants, Ltd. | Anesthesiology | 63474 Zabel Shores Rd, Sturgis, MI 49091-9371 | 2013-04-18 |
| 1407198807 | Kevin M. Nemeth | Anesthesiology | 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | 2013-03-23 |
| 1891054573 | Eduardo Icaza | Anesthesiology | 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900 | 2012-05-15 |
| 1972884724 | Martin Ilan Noveck | Anesthesiology | 9255 Allen Rd, Clarkston, MI 48348-2726 | 2011-09-07 |
| 1831491851 | Ana Pain Management PC | Anesthesiology | 42645 Garfield Rd Ste 103, Clinton Township, MI 48038-5022 | 2010-11-23 |
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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.