DANIEL E KISLOV, M.D. (NPI# 1063680585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063680585 |
Entity Type | Organization |
Organization Name | DANIEL E KISLOV, M.D. |
Practice Address |
1675 Leahy St Suite 328 Muskegon MI 49442-5500 |
Practice Telephone | 2317275565 |
Practice Fax Number | 2317275568 |
Mailing Telephone | 2317275565 |
Mailing Fax Number | 2317275568 |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |
Authorized Official Name | DANIEL E KISLOV (OWNER) |
Authorized Official Telephone | 2317275565 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1697919 | 05 | |
MI | BSBCM | 2406108272 | 01 |
Street Address |
1675 LEAHY ST SUITE 328 |
City | MUSKEGON |
State | MI |
Zip Code | 49442-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962405357 | Byron L Varnado | Family Medicine | 1675 Leahy St, Ste 301, Muskegon, MI 49442-5543 | 2005-05-31 |
1083269641 | Sheva Anayah Loncle | Physician Assistant | 1675 Leahy St, Muskegon, MI 49442-5500 | 2019-08-09 |
1790277101 | Felisa Saldutti | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Muskegon, MI 49442-5500 | 2018-05-31 |
1245768951 | Erin Nicole Deprekel | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Muskegon, MI 49442-5500 | 2017-05-24 |
1659807709 | Irfan Ahmed Khan | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-05-11 |
1740715689 | William Brady Alling | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-04-28 |
1093240103 | Cassondra Wass | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 | 2017-04-26 |
1740713551 | Brynn Schumacher | Student in an Organized Health Care Education/Training Program | 1675 Leahy St, Suite 315, Muskegon, MI 49442-5500 | 2017-04-07 |
1083156723 | Sara Farwig | Physician Assistant | 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 | 2016-11-11 |
1336590728 | Eliza Newbury-palma | Family Medicine | 1675 Leahy St, Suite 315a, Muskegon, MI 49442-5500 | 2016-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
Find all providers in zip 49442 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770659872 | Daniel E Kislov | Surgery | 1675 Leahy Street, Suite 328, Muskegon, MI 49442-5543 | 2006-11-28 |
1346353331 | Stephen E Fisher | Surgery | 1675 Leahy St, Suite 326 B, Muskegon, MI 49442-5500 | 2006-08-16 |
1306809546 | Dena W Thayer | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2006-04-10 |
1255394482 | Stephen N Zonca | Surgery | 1316 Mercy Dr, Muskegon, MI 49444-1835 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
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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.