NPIMap

Organization Active NPI

Eastpointe Internists, P.C.

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1073621835
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301407063 Issued in MI
Legal business name
EASTPOINTE INTERNISTS, P.C.
Practice address
28295 Schoenherr Rd
Ste C
Warren, MI 48088-4300
Phone
(586) 573-6669
Fax
(586) 573-6667
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dominic A Cusumano III, MD
Title
Owner
Phone
(586) 573-6669

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301407063 MI Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 4301047282 MI
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 4301049997 MI
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 5601003884 MI
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 5601003978 MI
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 5601003403 MI

Addresses

Primary practice location

28295 Schoenherr Rd
Ste C
Warren, MI 48088-4300

Mailing address

28295 Schoenherr Rd
Ste C
Warren, MI 48088-4300
Phone (586) 573-6669

National Provider Directory

National Provider Directory

Locations

28295 Schoenherr Rd
Ste C
Warren, MI 48088
Phone (586) 573-6669

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1073621835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28295 SCHOENHERR RD",
            "address_2": "STE C",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884300",
            "telephone_number": "586-573-6669",
            "fax_number": "586-573-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28295 SCHOENHERR RD",
            "address_2": "STE C",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884300",
            "telephone_number": "586-573-6669",
            "fax_number": "586-573-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINTE INTERNISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "CUSUMANO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-573-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301407063",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301047282",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301049997",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003884",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003978",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.