EDUARDO ICAZA


Address: 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900
Phone: 7345420200

EDUARDO ICAZA (NPI# 1891054573) 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) 1891054573
Entity Type Individual
Full Name EDUARDO ICAZA
Credential MD
Practice Address 36622 Five Mile Rd Ste 101
Livonia
MI 48154-1900
Mailing Address 1500 E Medical Center Dr
Ann Arbor
MI 48109-5000
Practice Telephone 7345420200
Mailing Telephone 7349364280
Mailing Fax Number 7349369091
Enumeration Date 2012-05-15
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
4301100249 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 E Medical Center Dr, Ann Arbor, MI 481095000 7349364280 7349369091

Office Location

Street Address 36622 FIVE MILE RD STE 101
City LIVONIA
State MI
Zip Code 48154-1900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881218360 Kellyn O'brady Chapman Physician Assistant 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900 2020-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699386227 Iha Health Service Corporation Durable Medical Equipment & Medical Supplies Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 2020-08-17
1972130136 Cameron Strong Student in an Organized Health Care Education/Training Program St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 2020-03-26
1447894019 Nova Pharmacy Pharmacy 15140 Levan Rd, Suite 40, Livonia, MI 48154 2019-11-06
1356992242 Milly Baydoun Registered Nurse 36650 Five Mile Rd Ste 106, Livonia, MI 48154 2019-09-23
1861059396 Align Family Chiropractic LLC Clinic/Center 19047 Middlebelt Rd, Livonia, MI 48154 2019-05-21
1619442159 Ashley Vaduva Counselor 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 2018-10-11
1245719434 Myron Rubin Dds PC Dentist 15357 Frmington Rd, Livonia, MI 48154 2018-08-09
1720578636 New Beginnings Addiction & Counseling Services Counselor 27677 Professional Center Drive Suite 135, Livonia, MI 48154 2018-05-16
1831693670 Robust Rehab Services, Inc. Occupational Therapist 32854 5 Mile Rd, Livonia, MI 48154 2018-03-19
1184139644 Nova Pharmacy LLC Pharmacy 15140 Levan Rd Suite 40, Livonia, MI 48154 2017-12-06
Find all providers in zip 48154

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
1457733008 John Sung Ha Anesthesiology 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 2015-06-19
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
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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Competitor

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City LIVONIA
Zip Code 48154

Improve Information

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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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