Vincent M Cimmino, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301032147 Issued in MI

Practice address

1500 East Medical Ctr Dr
B1 Floor Cancer & Geriatrics Ctr Recp E
Ann Arbor, MI 48109-5916

Phone

(734) 647-8902

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1235238650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CTR DR",
            "address_2": "B1 FLOOR CANCER & GERIATRICS CTR RECP E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095916",
            "telephone_number": "734-647-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMMINO",
        "first_name": "VINCENT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301032147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110987",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Church
• Joseph Thomas Church, M.D.
• Pati Putt Church, CUNP
• Kaissa Lynn-Moon Cianfarani
• Juan Sebastian Cifuentes Munoz, MD
• Joshua Cimpian
• Mitchell Cin, MD
• Jacob Cindrich, MD
• Sandro Kurt Cinti, MD
• Madeline Nicole Ciofu

• Surgery Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.