MK CERTIFIED, LLC (NPI# 1336602812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336602812 |
| Entity Type | Organization |
| Organization Name | MK CERTIFIED, LLC |
| Practice Address |
2140 Stone Rd Ann Arbor MI 48105-2535 |
| Practice Telephone | 4026189808 |
| Mailing Telephone | 4026189808 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | DR. MITCHELL KOHL (OWNER) |
| Authorized Official Telephone | 4026189808 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2140 STONE RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124485628 | Workit Health | General Practice | 3300 Washtenaw Ave Ste 280, Ann Arbor, MI 48104-5184 | 2016-01-28 |
| 1427476431 | Health Heroes of Michigan Inc | General Practice | 2723 S State St Ste 150147, Ann Arbor, MI 48104-6188 | 2014-04-07 |
| 1538401989 | Tans Medical Service P C | General Practice | 3120 Kilburn Park Cir, Ann Arbor, MI 48105-4119 | 2013-03-25 |
| 1972869493 | Reuel Shannon Long | General Practice | 6363 Jennings Rd, Ann Arbor, MI 48105-9642 | 2012-04-10 |
| 1548547243 | Adolfo Cotter | General Practice | 330 E Liberty St Lowr Level, Ann Arbor, MI 48104-2274 | 2011-11-08 |
| 1003194309 | James Anthony Pierre Jr. | General Practice | 636 Waymarket Dr, Ann Arbor, MI 48103-6441 | 2011-08-03 |
| 1427388503 | M Schmit | General Practice | 3205 Sunnywood Dr, Ann Arbor, MI 48103-2059 | 2010-01-12 |
| 1477794238 | Nestor Aldo Kleer | General Practice | 4118 Timber Ridge Dr, Ann Arbor, MI 48108-2796 | 2009-03-09 |
| 1588852032 | John Wright | General Practice | 4841 Sawgrass Dr W, Ann Arbor, MI 48108-8613 | 2007-10-10 |
| 1659496438 | Regina Pan Robinson | General Practice | 2920 Pebble Creek, Ann Arbor, MI 48108-1730 | 2007-03-20 |
| Find all providers in ANN ARBOR | ||||
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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.