DR. KENNETH J KULIK (NPI# 1295709533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295709533 |
| Entity Type | Individual |
| Full Name | DR. KENNETH J KULIK |
| Credential | MD |
| Practice Address |
44199 Dequindre Ste 503 Troy MI 48085 |
| Practice Telephone | 2488792322 |
| Practice Fax Number | 2488972365 |
| Mailing Telephone | 2488792322 |
| Mailing Fax Number | 2488792365 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301042847 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 322087710 | 05 |
| Street Address |
44199 DEQUINDRE STE 503 |
| City | TROY |
| State | MI |
| Zip Code | 48085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053445973 | Taibi Chbihi | Physician Assistant | 44199 Dequindre, Suite 400, Troy, MI 48085 | 2007-03-15 |
| 1336250547 | Russell Wm Miller Md PC | Orthopaedic Surgery | 44199 Dequindre, Suite 250, Troy, MI 48085-1128 | 2006-08-31 |
| 1124139332 | Richard Easton Md PC | Orthopaedic Surgery | 44199 Dequindre, Suite 250, Troy, MI 48085-1128 | 2006-08-31 |
| 1659349348 | Brandon Edwin Mackenzie | Physician Assistant | 44199 Dequindre, Suite 250, Troy, MI 48085 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346801032 | Compassionate Medical Services Plc | Internal Medicine | 2847 Briarwood Dr, Troy, MI 48085-1153 | 2019-06-24 |
| 1891262341 | James Bazzi Md PC | Internal Medicine | 3455 Livernois Rd, Troy, MI 48083-5063 | 2018-11-01 |
| 1649707134 | Aspan Medical Services, Pllc | Internal Medicine | 3400 Livernois Rd, Troy, MI 48083-5063 | 2017-05-16 |
| 1689105421 | Ausi Medical Center PC | Internal Medicine | 5032 Rochester Rd, Suite 200, Troy, MI 48085-3454 | 2017-03-23 |
| 1598202467 | Mercy Family Care Center Pllc | Internal Medicine | 4091 Chatwal Ct, Troy, MI 48085-0001 | 2017-01-30 |
| 1811349822 | Kruthika Shanmugam | Internal Medicine | 2064 Coolidge Hwy, Apt 210, Troy, MI 48084-3616 | 2016-07-01 |
| 1437506052 | Lequishia Alexander Md Pllc | Internal Medicine | 2366 John R Rd Apt 205, Troy, MI 48083-2573 | 2016-05-24 |
| 1528478948 | Ahmed Mostafa Naderramadan Mohamed | Internal Medicine | 2791 Charter Dr Apt 117, Troy, MI 48083-1325 | 2014-05-07 |
| 1033539846 | Nashwa Khogali-jakary | Internal Medicine | 3290 W Big Beaver Rd Ste 420, Troy, MI 48084-2931 | 2014-04-18 |
| 1154740942 | Waseem Ghanim Petros | Internal Medicine | 2221 Livernois Rd Ste 100, Troy, MI 48083-1603 | 2014-04-09 |
| Find all providers in TROY | ||||
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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.