JUSTIN D KLEIN (NPI# 1194920041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194920041 |
| Entity Type | Individual |
| Full Name | JUSTIN D KLEIN |
| Credential | M.D. |
| Practice Address |
3901 Beaubien St Carls Building 2nd Floor Detroit MI 48201-2119 |
| Practice Telephone | 3138313220 |
| Practice Fax Number | 3137450747 |
| Mailing Telephone | 3138313220 |
| Mailing Fax Number | 3137450747 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2014-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
4301086040 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI | 1396817714 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376032235 | Justin Casey Klein | Student in an Organized Health Care Education/Training Program | 4150 Clement St, San Francisco, CA 94121-1563 | 2018-05-07 |
| 1700276342 | Justin Klein | Pharmacy Technician | 580 Marketplace Dr, Bel Air, MD 21014-4310 | 2015-02-04 |
| 1528495587 | Justin Blake Klein | Emergency Medicine | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2013-10-03 |
| 1174965958 | Justin Klein | Pharmacist | 2175 Dixwell Ave, Hamden, CT 06514-2405 | 2013-07-22 |
| 1093031866 | Justin Klein | Dietitian, Registered | 2901 N 4th St, Longview, TX 75605-5128 | 2010-04-19 |
| 1497905673 | Justin M Klein | Chiropractor | 4900 Massachusetts Ave Nw, Suite 250, Washington, DC 20016-4358 | 2008-09-24 |
| Street Address |
3901 BEAUBIEN ST CARLS BUILDING 2ND FLOOR |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151238 | Mark Campbell | Nurse Anesthetist, Certified Registered | 3901 Beaubien St, Detroit, MI 48201-2119 | 2005-08-18 |
| 1164037735 | Mamdouh Dakhel A Alahmadi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-09-10 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1346864550 | Mariane Tomiyoshi Asato | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-06-03 |
| 1629691613 | Abigail Marie Troy | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-05-25 |
| 1235750373 | Katherine Marie Obudzinski | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-04-29 |
| 1548880073 | Sara Mercedes Evans | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1619597069 | Zahur Fatima Sallman | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1154941706 | Saira Tariq | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| 1063032688 | Michael Allen Finkel | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147461 | Joseph Lawrence Lelli | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-07-12 |
| 1346514254 | Masih Abdul Kader | Surgery | 3901 Beaubien St, Detroit, MI 48201-2119 | 2012-02-24 |
| 1730324096 | Lydia Joy Donoghue | Surgery | 3901 Beaubien St, Dept of Pediatric Surgery, Detroit, MI 48201-2119 | 2008-12-15 |
| 1598713414 | St John Hospital Corporation | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2006-05-04 |
| 1124015565 | Christina Mubarak Shanti | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235365081 | Elliot Carr Pennington | Surgery | 330 Barclay Ave Ne Ste 202, Grand Rapids, MI 49503-2525 | 2009-06-08 |
| 1346444270 | Pavan Brahmamdam | Surgery | 3535 W 13 Mile Rd # 307, Medical Office Building, Royal Oak, MI 48073-6770 | 2007-06-13 |
| 1700908423 | Susan Hershberg Adelman | Surgery | 29820 Woodland Dr, Southfield, MI 48034-1339 | 2007-04-04 |
| 1891742128 | Ajith K Kadakol | Surgery | 1701 South Blvd E Ste B75, Rochester Hills, MI 48307-6122 | 2006-05-30 |
| 1912322009 | Lakeshore Surgical Consultants, Plc | Surgery | 5400 Fort St, Suite 200, Trenton, MI 48183-4632 | 2014-02-26 |
| 1205197639 | Marcus P Haw | Surgery | 100 Michigan St Ne, 10th Floor, Mc 248, Grand Rapids, MI 49503-2560 | 2012-06-01 |
| 1114159415 | Daniel Joseph Watkins | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2009-08-20 |
| 1366597544 | Covenant Medical Center, Inc. | Surgery | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-01-25 |
| 1679622765 | Robert Robert Connors | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2007-01-09 |
| 1326197625 | James Michael Decou | Surgery | 330 Barclay Ave Ne, Suite 202, Grand Rapids, MI 49503-2556 | 2007-01-09 |
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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.