KENNETH BISHOP (NPI# 1407815681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407815681 |
| Entity Type | Individual |
| Full Name | KENNETH BISHOP |
| Practice Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Mailing Address |
130 Town Center Dr Ste 203 Troy MI 48084-1744 |
| Practice Telephone | 2489644044 |
| Mailing Telephone | 2485858216 |
| Mailing Fax Number | 2485858266 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2018-04-06 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101013989 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 010F362460 | 01 |
| MI | 4435982 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497307946 | Kenneth Charles Bishop | Peer Specialist | 5257 Ashwood Dr, Lyndhurst, OH 44124-1037 | 2019-07-15 |
| 1740352814 | Kenneth Garland Bishop | Chiropractor | 5369 Highway 90 W Ste C, Mobile, AL 36619-4223 | 2006-11-14 |
| 1497379622 | Kenneth Pate Bishop | Physical Therapist | 3045 Kate Bond Rd, Bartlett, TN 38133-4004 | 2020-06-03 |
| 1609410943 | Kenneth Christopher Bishop | Social Worker | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2019-10-30 |
| 1629223953 | Kenneth Stanley Bishop | Chiropractor | 111 Se Douglas St, Suite F-1, Newport, OR 97365 | 2008-12-01 |
| 1598925091 | Kenneth D Bishop | Internal Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2008-06-10 |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892468 | Mary Margaret Guerra | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2005-06-28 |
| 1578163523 | Laura Marie Metz | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-29 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1437756095 | Amanda Michelle Hirsch | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-07 |
| 1467059113 | Scott Matthew Grumeretz | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1285231944 | Brianne Patton | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
| 1720694300 | Justine Marie Doss | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-19 |
| 1649885872 | Sara Dawn Thueme | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-14 |
| 1316561772 | Jodi Marini | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-06-02 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664881 | Upstate Concierge Medicine Pllc | Emergency Medicine | 216 River St Ste 3, Troy, NY 12180-3848 | 2018-06-28 |
| 1831453273 | Ingrid Zylinski | Emergency Medicine | 888 W Big Beaver Rd Suite #1450 Perspective Counseling, Troy, MI 48084 | 2012-06-29 |
| 1669748091 | Terrence Hwakai Liang | Emergency Medicine | 3797 Victoria Dr, Troy, MI 48083-6307 | 2012-03-29 |
| 1962713750 | Armenia Mountain Emergency Physicians LLC | Emergency Medicine | 101 Elmira St., Troy, PA 16947-1271 | 2010-06-25 |
| 1841336658 | Michael Scott Reddington | Emergency Medicine | 754 Sandalwood Dr, Troy, MI 48085-1644 | 2007-01-29 |
| 1538232830 | Melissa Fiorini | Emergency Medicine | 79 Vandenburgh Avenue, Troy, NY 12180 | 2006-11-16 |
| 1346251816 | Ali Syed Taqi | Emergency Medicine | 6397 Denton Dr, Troy, MI 48098-2006 | 2006-08-10 |
| 1710995287 | Stephen J Sokaris | Emergency Medicine | 1300 Massachusetts Avenue, Troy, NY 12180 | 2006-08-03 |
| 1639117534 | Adolfo Robledo | Emergency Medicine | 1330 Highway 231 S, Troy, AL 36081-3058 | 2006-06-03 |
| 1821043209 | Gail Moolsintong | Emergency Medicine | 1165 A East Cherry St, Troy, MO 63379 | 2006-05-23 |
| 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.