DR. KEVIN A AGREST (NPI# 1386625606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386625606 |
| Entity Type | Individual |
| Full Name | DR. KEVIN A AGREST |
| Credential | DO |
| Practice Address |
21647 Ryan Rd Warren MI 48091-2795 |
| Practice Telephone | 5867574200 |
| Practice Fax Number | 5867578332 |
| Mailing Telephone | 5867574200 |
| Mailing Fax Number | 5867578332 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101014983 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0858214695 | 01 |
| MI | STATE LICENSE NUMBER | 5101014983 | 01 |
| Street Address |
21647 RYAN RD |
| City | WARREN |
| State | MI |
| Zip Code | 48091-2795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221785 | Jeffrey A Kraft | Family Medicine | 21647 Ryan Rd, Warren, MI 48091-2795 | 2005-11-11 |
| 1538625629 | Jeffrey Schwalb | Podiatrist | 21647 Ryan Rd, Warren, MI 48091-2795 | 2019-02-14 |
| 1629456546 | Chad Mitchell Schwalb | Podiatrist | 21647 Ryan Rd, Warren, MI 48091 | 2015-05-12 |
| 1750549580 | Martin Karp | Family Medicine | 21647 Ryan Rd, Warren, MI 48091-2795 | 2008-05-29 |
| 1326219312 | Shardul Harendra Pandya | Specialist | 21647 Ryan Rd, Warren, MI 48091-2795 | 2008-03-18 |
| 1962410589 | Jeffrey Schwalb | Podiatrist | 21647 Ryan Rd, Warren, MI 48091 | 2006-08-03 |
| 1528024163 | Healthcure Rehabilitation, Inc. | Physical Therapist | 21647 Ryan Rd, Warren, MI 48091-2795 | 2006-04-23 |
| 1043296569 | Ryan Medical Services | Clinical Medical Laboratory | 21647 Ryan Rd, Warren, MI 48091-2795 | 2005-12-16 |
| 1922083997 | Ryan Medical | Neuromusculoskeletal Medicine & OMM | 21647 Ryan Rd, Warren, MI 48091-2795 | 2005-12-13 |
| 1396729075 | Kenneth S Meyers | Family Medicine | 21647 Ryan Rd, Warren, MI 48091-2795 | 2005-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615172 | Amanda Lynn Kelsey | Nurse Practitioner | 21647 Ryan Road, Warren, MI 48091 | 2016-05-02 |
| 1902284474 | Daejana Maldonado | Licensed Practical Nurse | 7519 Toepfer, Warren, MI 48091 | 2015-05-15 |
| 1245637743 | Jerami Roy | Recreation Therapist | 7086 E 9 Mile, Warren, MI 48091 | 2014-11-26 |
| 1265698344 | Amanda Sarah Yousif-mansour | Dentist | 2442 E 10 Mile Road, Warren, MI 48091 | 2008-07-29 |
| 1326171166 | Sunshine Dental Center PC | Dentist | 21761 Ryan Rd, Warren, MI 48091 | 2007-03-13 |
| 1487709630 | Albert Spickers | General Practice | 26193 Meredith Drive, Warren, MI 48091 | 2007-01-25 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1790835452 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2000 Ten Mile Rd., Warren, MI 48091 | 2007-01-12 |
| 1942363759 | Carolyn Joan Sucaet | Physical Therapist | 20952 12 Mile Road, Suite 110, St. Clair Shores, FM 48091 | 2006-12-19 |
| 1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
| Find all providers in zip 48091 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770111072 | Olive Branch Medical Associates Pllc | Family Medicine | 1270 County Road 4755, Warren, TX 77664-7714 | 2020-03-31 |
| 1689169542 | Warren Family Practice, Pllc | Family Medicine | 26000 Hoover Rd Ste 105, Warren, MI 48089-1167 | 2018-06-24 |
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1174969927 | Vikas Sacher | Family Medicine | Warren General Hospital, 2 W Crescent Park, Warren, PA 16365-2111 | 2013-05-21 |
| 1609108679 | Douglas Luke Kehres | Family Medicine | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2010-02-02 |
| 1891026019 | Gary William Stucke | Family Medicine | 511 Kenmore Ave., Ne, Warren, OH 44483-5521 | 2010-01-28 |
| 1790014835 | Jeffery Elwood Hess | Family Medicine | 30400 Mound Rd, Manufacturing Bldg. C, Warren, MI 48092-2029 | 2009-12-21 |
| 1295977007 | Frank A. Diponio Jr. D.o. P.C. | Family Medicine | 29250 Heritage Parkway, Warren, MI 48092 | 2009-03-26 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1598941148 | Oleh Bolukh | Family Medicine | 2539 E 12 Mile Rd, Warren, MI 48092-5648 | 2008-01-14 |
| Find all providers in WARREN | ||||
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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.