JOHN C. EGGENBERGER (NPI# 1225191844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225191844 |
| Entity Type | Individual |
| Full Name | JOHN C. EGGENBERGER |
| Credential | M.D. |
| Practice Address |
5325 Elliott Dr Ste 104 Ypsilanti MI 48197-8633 |
| Mailing Address |
5325 Elliott Suite 104, Associates In General and Vascular Surgery Ypsilanti MI 49197 |
| Practice Telephone | 7347128150 |
| Practice Fax Number | 7347128151 |
| Mailing Telephone | (734) 712-8150 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 4301405869 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS-BLUE CROSS | 280H264470 | 01 | |
| MI | 284751010 | 05 | |
| COMMERCIAL-COMMERCIAL NUMBER | JE405869 | 01 | |
| CHAMPUS-CHAMPUS | JE405869 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 3139162436 |
| Street Address |
5325 ELLIOTT DR STE 104 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609416015 | Ashley Dawn Plemens | Nurse Practitioner | 5325 Elliott Dr Ste 104, Ypsilanti, MI 48197-8633 | 2020-01-14 |
| 1679708812 | Melissa Chang | Colon & Rectal Surgery | 5325 Elliott Dr Ste 104, Ypsilanti, MI 48197-8633 | 2009-05-18 |
| 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 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679708812 | Melissa Chang | Colon & Rectal Surgery | 5325 Elliott Dr Ste 104, Ypsilanti, MI 48197-8633 | 2009-05-18 |
| 1184660300 | Robert K Cleary | Colon & Rectal Surgery | 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 | 2006-06-22 |
| 1295771947 | Richard A Flanagan Jr. | Colon & Rectal Surgery | 5325 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8633 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649566068 | Kristin M Busch | Colon & Rectal Surgery | 4201 Campus Ridge Dr, Midland, MI 48640-6128 | 2011-06-23 |
| 1215245329 | Warren P Mazier | Colon & Rectal Surgery | 7701 Conservation St Ne, Ada, MI 49301-9522 | 2010-09-23 |
| 1346566908 | William Lionel Beauregard | Colon & Rectal Surgery | 4406 Birch Run Dr, Troy, MI 48098-4341 | 2010-04-07 |
| 1114140167 | Ralph D Pearlman Md PC | Colon & Rectal Surgery | 22250 Providence Dr Ste 702, Southfield, MI 48075-6215 | 2007-04-10 |
| 1770637753 | Chairat Chomchai | Colon & Rectal Surgery | 28111 Hoover Road, Suite 6a, Warren, MI 48093 | 2007-01-23 |
| 1518051358 | Colon and Rectal Surgery Associates PC | Colon & Rectal Surgery | 1126 Gull Rd, Kalamazoo, MI 49048 | 2006-10-03 |
| 1568569655 | Farouk S Tootla | Colon & Rectal Surgery | 44060 Woodward Ave, Bloomfield Hills, MI 48302-5038 | 2006-09-20 |
| 1962470435 | Harold D Friedl | Colon & Rectal Surgery | 1126 Gull Road, Colon and Rectal Surgery Associates PC, Kalamazoo, MI 49048-1726 | 2006-03-10 |
| 1619950631 | Ganesh R Deshmukh | Colon & Rectal Surgery | 3106 S Wayne Rd, Wayne, MI 48184 | 2005-11-23 |
| 1629050828 | Hans J Stein | Colon & Rectal Surgery | 1121 Crooks Rd, Royal Oak, MI 48067 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN C. EGGENBERGER.
| 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.