JACALYN BISHOP, MD, PC (NPI# 1396947164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396947164 |
| Entity Type | Organization |
| Organization Name | JACALYN BISHOP, MD, PC |
| Other Organization Name | ENDOCRINE KIDS |
| Practice Address |
44000 W. 12 Mile Rd Suite 103 Novi MI 48377-2646 |
| Mailing Address |
44000 W 12 Mile Road Suite 103 Novi MI 48377 |
| Practice Telephone | 2483473344 |
| Practice Fax Number | 3483056845 |
| Mailing Telephone | 2483473344 |
| Mailing Fax Number | 2483056845 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | JACALYN MEREDITH BISHOP (OWNER) |
| Authorized Official Telephone | 2483473344 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Endocrine Kids | Doing Business As Name - Organization |
| Street Address |
44000 W. 12 MILE RD, SUITE 103 |
| City | NOVI |
| State | MI |
| Zip Code | 48377-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063579415 | Jacalyn Meredith Bishop | Pediatrics | 25500 Meadowbrook Rd, Suite 130, Novi, MI 48375-1878 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750337135 | Colleen Buggs - Saxton | Pediatrics | 3950 Beaubien 3rd Floor, Detroit, MI 48201 | 2006-05-26 |
| 1144214990 | Bernard Degnan | Pediatrics | 3535 W 13 Mile Rd # 707, Royal Oak, MI 48073-6770 | 2005-09-08 |
| 1205368107 | Nellie Said | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5718 | 2017-03-30 |
| 1194168948 | Doris Rafic Taha | Pediatrics | 3950 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-04-11 |
| 1720355910 | Spectrum Health Primary Care Partners | Pediatrics | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2011-11-16 |
| 1992006142 | Spectrum Health Primary Care Partners | Pediatrics | 3290 N Wellness Dr, Holland, MI 49424-7259 | 2010-11-04 |
| 1215237813 | Spectrum Health Primary Care Partners | Pediatrics | 3535 Park St, Muskegon, MI 49444-3736 | 2010-10-28 |
| 1760782361 | Spectrum Health Primary Care Partners | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2010-10-28 |
| 1730494543 | Mouhammad Rateb Alwazeer | Pediatrics | 22201 Moross Rd, Suite 270, Detroit, MI 48236-2169 | 2010-08-17 |
| 1184935835 | Emily Rebecca Miller | Pediatrics | 35 Michigan St Ne, Suite 1800, Grand Rapids, MI 49503-2514 | 2010-06-28 |
| Find all providers with the same taxonomy | ||||
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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.