MR. CLARK BISHOP II


Address: 1700 Waterman St, Detroit, MI 48209-2022
Phone: 3138418900

MR. CLARK BISHOP II (NPI# 1194146845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194146845
Entity Type Individual
Full Name MR. CLARK BISHOP II
Credential 4704202764
Practice Address 1700 Waterman St
Detroit
MI 48209-2022
Mailing Address 26766 Stanford St
Inkster
MI 48141-3135
Practice Telephone 3138418900
Mailing Telephone 3132837001
Enumeration Date 2013-12-26
Last Update Date 2013-12-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse 4704202764 MI Nursing Service Providers

Other Providers CLARK BISHOP

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1861716045 Clark Bishop Physician Assistant 245 Union Ave Apt A1001, Campbell, CA 95008-3524 2010-03-17
1538639901 Clark Bishop Pharmacist 119 N Main St, Blackwell, OK 74631-2226 2018-11-28
1841206844 Clark Thorpe Bishop Internal Medicine 1055 N 300 W, Suite 500, Provo, UT 84604-3344 2006-07-31

Office Location

Street Address 1700 WATERMAN ST
City DETROIT
State MI
Zip Code 48209-2022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437169786 Jaswant Purohit Psychiatry & Neurology 1700 Waterman St, Detroit, MI 48209-2022 2006-08-09
1912513839 Erica Medina Counselor 1700 Waterman St, Detroit, MI 48209-2022 2020-09-16
1952934366 Laura Owens Registered Nurse 1700 Waterman St, Detroit, MI 48209-2022 2020-02-14
1013556026 Jamice Sade' Harris Social Worker 1700 Waterman St, Detroit, MI 48209-2022 2019-12-23
1033755269 Rodney Harold Averett Counselor 1700 Waterman St, Detroit, MI 48209-2022 2019-11-22
1124685433 Kristina Nicole Henning Social Worker 1700 Waterman St, Detroit, MI 48209-2022 2019-05-22
1861952517 Edward Grumeretz Social Worker 1700 Waterman St, Detroit, MI 48209-2022 2019-03-20
1679047427 Candice Taylor Technician, Other 1700 Waterman St, Detroit, MI 48209-2022 2019-01-15
1154826311 Stephanye Lavenant Case Manager/Care Coordinator 1700 Waterman St, Detroit, MI 48209-2022 2018-03-28
1356846612 Mary Regina Martinez Case Manager/Care Coordinator 1700 Waterman St, Detroit, MI 48209-2022 2018-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316501471 El Valle Optical, Inc. Eyewear Supplier (Equipment, not the service) 1940 Campbell, Detroit, MI 48209 2019-04-24
1598211583 Elizabeth Lopez-riachi Technician, Other 1551 Cavaqlry St., Detroit, MI 48209 2016-08-30
1205210333 Yamirka Torres Behavioral Analyst 1551 Cavalry St, Detroit, MI 48209 2015-07-18
1689943359 Jessica Male Pharmacist 6223 W Jefferson Ave, Detroit, MI 48209 2011-12-23
1003070723 Mark Beard General Practice 5700 W Vernor Hwy, Detroit, MI 48209 2008-07-11
1891980330 Emery K Toth Dentist 8028 W Vernor Hwy, Detroit, MI 48209 2007-09-07
1225131881 Eva A Karmo Dentist 4607 W. Vernor Hwy, Detroit, MI 48209 2006-09-07
1023123858 Wanda E Velez Ruiz Internal Medicine 4115 W Vernor, Detroit, MI 48209 2006-08-20
1235142563 Wendy Yousif Mckay Family Medicine 5831 W Vernor, Detroit, MI 48209 2006-08-15
1316950645 Sahir H Cittan Family Medicine 5831 West Vernor, Detroit, MI 48209 2006-08-15
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003417783 Tawana Danielle Williams Registered Nurse 866 Blaine St, Detroit, MI 48202-1938 2020-11-08
1528684099 Barbara Ann Bracey Registered Nurse 6309 Mack Ave # 48207, Detroit, MI 48207-2302 2020-06-22
1891325049 Karen Elizabeth Lacombe Registered Nurse 2925 Russell Street, Detroit, MI 48207-4825 2020-01-16
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1588220222 John S Inthavongsa Registered Nurse 454 W Alexandrine St Apt 18, Detroit, MI 48201-1787 2019-05-17
1578036083 Prevention Safe Registered Nurse 15429 Appoline St, Detroit, MI 48227-4007 2019-01-07
1831669175 Amber Lenay Burnett Registered Nurse 19650 Telegraph Rd, Detroit, MI 48219-1624 2018-11-29
1285117085 Kenyata Hamilton-carter Registered Nurse 8136 Sirron St, Detroit, MI 48234-3314 2018-09-08
1003309063 Marquita Outlaw Registered Nurse 8290 Coyle St, Detroit, MI 48228 2018-06-13
1558850768 Doshaun Rene Edwards Registered Nurse 16151 Meyers Rd, Detroit, MI 48235-4108 2018-05-02
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Competitor

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City DETROIT
Zip Code 48209

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Dataset Information

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.

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