BI COUNTY CLINICAL PRACTICES (NPI# 1124213921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124213921 |
| Entity Type | Organization |
| Organization Name | BI COUNTY CLINICAL PRACTICES |
| Practice Address |
27500 Hoover Rd Ste 100 Warren MI 48093-4586 |
| Mailing Address |
Po Box 673195 Detroit MI 48267-0001 |
| Practice Telephone | 5867542558 |
| Practice Fax Number | 5867542426 |
| Mailing Telephone | 8107205715 |
| Mailing Fax Number | 8107320891 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | JOHN KIBBLE (DIRECTOR) |
| Authorized Official Telephone | 3138743436 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM/BCN | 700E002070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043535990 | Bi County Clinical Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Suite 100, Warren, MI 48093-4586 | 2010-04-05 |
| Street Address |
27500 HOOVER RD STE 100 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508819475 | Great Lakes Seniors PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-05-19 |
| 1245574920 | Gi Health & Wellnes PC | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2012-11-19 |
| 1619242179 | Daniel L Jensen D O P L L C | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2012-03-16 |
| 1043535990 | Bi County Clinical Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Suite 100, Warren, MI 48093-4586 | 2010-04-05 |
| 1942524624 | Bi County Medical Practices | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093-4586 | 2010-03-24 |
| 1225369838 | Southeastern Gastroenterology Associates P.C. | Internal Medicine | 27500 Hoover Rd, Warren, MI 48093 | 2010-01-21 |
| 1851589584 | Louis L Rondini Do Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27500 Hoover Rd, Suite 100, Warren, MI 48093-4586 | 2007-10-09 |
| 1326230236 | Daniel Loran Jensen | Surgery | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2007-08-14 |
| 1508955816 | Great Lakes Medical Center PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-10-12 |
| 1609817410 | Dr. Richard Colman Do Pllc | Obstetrics & Gynecology | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851338347 | Kenneth Granke | Surgery | 2104 E 11 Mile Rd, Suite 600, Warren, MI 48091-6122 | 2006-06-01 |
| 1447227582 | Rao Sudheendra | Surgery | 4100 Youngstown Rd Se, Warren, OH 44484-3346 | 2006-03-08 |
| 1255704805 | Elizabeth A Pensler Do Pllc | Surgery | 11446 E 13 Mile Rd Ste C, Warren, MI 48093-6571 | 2015-11-04 |
| 1174719041 | David H Schulman Do PC | Surgery | 13251 E 10 Mile Rd, Ste 400, Warren, MI 48089-2076 | 2007-09-24 |
| 1326230236 | Daniel Loran Jensen | Surgery | 27500 Hoover Rd, Ste 100, Warren, MI 48093-4586 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
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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.