Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominic Izzo, DO

Individual provider Family Medicine Physician · NPI 1932723905

Dominic Izzo, DO is a Family Practice in Grand Ledge, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with David J. Smith MD PC, a 17-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1035 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-2223
Phone: (517) 627-2181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101027018 (MI)

Record details

NPI number1932723905
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address1035 Charlevoix Dr, Grand Ledge, MI 48837-2223

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice David J. Smith Md Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Ledge