CRISTINA TITA


Address: 1100 E Michigan Ave Ste 100, Jackson, MI 49201-1800
Phone: 5172053345

CRISTINA TITA (NPI# 1861605362) 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) 1861605362
Entity Type Individual
Full Name CRISTINA TITA
Credential M.D.
Practice Address 1100 E Michigan Ave Ste 100
Jackson
MI 49201-1800
Mailing Address 2799 W Grand Blvd
Dept of Cardiology
Detroit
MI 48202-2608
Practice Telephone 5172053345
Mailing Telephone 3139162966
Enumeration Date 2007-05-08
Last Update Date 2020-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 4301082141 MI Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4301082141 MI Allopathic & Osteopathic Physicians
Y 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
4301082141 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2799 W Grand Blvd, Dept of Cardiology, Detroit, MI 482022608 3139162966

Office Location

Street Address 1100 E MICHIGAN AVE STE 100
City JACKSON
State MI
Zip Code 49201-1800

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174137863 Sally Ann Shaw Behavior Technician 3699 Miles Rd., Jackson, MI 49201 2020-09-01
1780293043 Alyn Kristin Kay Technician Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 2020-07-23
1841827946 Maverick Jubane Student in an Organized Health Care Education/Training Program Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 2020-03-26
1306486584 Cody Williams Technician, Other 1001 Laurence Avenue St E, Jackson, MI 49201 2020-01-15
1720632292 Krystie Lynn Adorjan Speech-Language Pathologist 1175 W Parnall Rd, Jackson, MI 49201 2019-08-01
1407412653 Howard Franklin Tanner II Speech-Language Pathologist 102 East Michigan Avenue, Jackson, MI 49201 2019-05-14
1356863740 Rima Zarar Qayyum Speech-Language Pathologist 4800 Firethorn Dr., Jackson, MI 49201 2017-07-07
1306384383 Briana Nesmith Speech-Language Pathologist 2025 Ann Arbor Road, Jackson, MI 49201 2017-02-09
1255878062 W.a. Foote Memorial Hospital, Inc Otolaryngology 205 N.east Ave, Jackson, MI 49201 2017-01-31
1306212881 Aisha Henderson Social Worker 729 West Michigan Avenue, Jackson, MI 49201 2015-08-19
Find all providers in zip 49201

Taxonomy Information

Taxonomy Code 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477168607 Rajendra Mehta, Md, PC Internal Medicine 823 E Michigan Ave # 30, Jackson, MI 49201-2401 2020-09-14
1205322385 Lampros Papadimitriou Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2018-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780296699 Yoav Hammer Internal Medicine 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 2020-08-21
1891205969 Regents of The University of Michigan Internal Medicine 1500 E Medical Center Drive, 3rd Floor Taubman Ctr Recp C, Ann Arbor, MI 48109-5644 2017-10-03
1700396876 Regents of The University of Michgian Internal Medicine 8001 Challis Rd, Brighton, MI 48116-7446 2017-10-03
1639445844 Matthew Hans Gonzalez Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2012-04-02
1275742389 Renzo Ygor Loyaga-rendon Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2007-05-22
1841415098 Ryan Grayburn Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2007-04-14

Competitor

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City JACKSON
Zip Code 49201

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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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