Dominic Anthony Garrisi, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2270743 Issued in MI

Practice address

21018 Bon Brae
St. Clair Shores, MI 48081

Phone

(586) 774-1837

NPI assigned

Jun 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ambulatory Anesthesia Care, PLLC

  • Specialist
  • Flint, MI
  • NPI 1538114228
  NPD (past)
• Morgan Medical Management, PC

  • Certified Registered Nurse Anesthetist
  • Jackson, MI
  • NPI 1386740025

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1508094350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21018 BON BRAE",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-774-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21018 BON BRAE",
            "city": "ST. CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-774-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISI",
        "first_name": "DOMINIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "2270743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Gannon, OTR
• Rubin Peter Gappy, MD
• Amandeep Singh Garcha, M.D
• Torriana S L Gardner
• Arlene Garma-Maceachran, LMSW
• Kennedi Jade Gaston
• Genesis43 LLC
• Kristina Genther
• Gentle Dental Shores PLLC
• Carolyn Rain Gentry, PHD

• Anesthesiology Physician in St. Clair Shores, MI
• Providers in St. Clair Shores, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.