DR. KYLE MEDLEY (NPI# 1144859984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144859984 |
| Entity Type | Individual |
| Full Name | DR. KYLE MEDLEY |
| Credential | DO |
| Practice Address |
5333 Mcauley Dr Rm 4001 Ypsilanti MI 48197-1099 |
| Mailing Address |
5333 Mcauley Drive Gme Office Suite 2111 Ypsilanti MI 48197 |
| Practice Telephone | 7347123980 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5333 MCAULEY DR RM 4001 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063517472 | St Joseph Mercy Hospital | General Acute Care Hospital | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2006-09-13 |
| 1497374789 | Taylor Shea Novice | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-16 |
| 1194344796 | Ankita Badhwar | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-13 |
| 1518596923 | Angela Marie Taylor | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-07 |
| 1568091106 | Andrew Jason John | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-06 |
| 1275162950 | Dayton Snyder | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-05 |
| 1326677279 | Daniel William Cole | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-03 |
| 1063041838 | Joanne Jeean Choi | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-03 |
| 1366070492 | Natalie Keane Domeisen | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-01 |
| 1366071417 | Sunaina Gowda Ramesh Babu | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1548878390 | Mobina Shrestha | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Academic Internal Medicine Clinic, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-07-17 |
| 1790313849 | Cynthia Elizabeth Tetreault | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2120, Ypsilanti, MI 48197-8633 | 2020-04-01 |
| 1144861527 | Naiomi C Wilson | Student in an Organized Health Care Education/Training Program | 4910 Sycamore Dr, Ypsilanti, MI 48197-6107 | 2019-10-07 |
| 1881157311 | Tobias Philip Keeney-bonthrone | Student in an Organized Health Care Education/Training Program | Academic Surgery Clinic, 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197-8633 | 2019-04-11 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1912499104 | Zachary Michael Vigliotti | Student in an Organized Health Care Education/Training Program | 413 W Forest Ave Apt 5, Ypsilanti, MI 48197-8141 | 2018-06-04 |
| 1134625585 | Carter Burson Anderson | Student in an Organized Health Care Education/Training Program | Academic Ob/gyn Clinic, 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2018-04-04 |
| 1841795556 | Ann Elizabeth Hutchison | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2115, Ypsilanti, MI 48197-1097 | 2018-03-26 |
| 1720582794 | Angela Miciura | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2215, Ypsilanti, MI 48197-1097 | 2018-03-22 |
| Find all providers in YPSILANTI | ||||
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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.