DR. TRISTAN ELLIOT KNIGHT (NPI# 1497195242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497195242 |
| Entity Type | Individual |
| Full Name | DR. TRISTAN ELLIOT KNIGHT |
| Credential | MD |
| Practice Address |
3901 Beaubien St Detroit MI 48201-2119 |
| Mailing Address |
3901 Beaubien Street, Children's Hospital of Michigan Division of Pediatric Hematology and Oncology Detroit MI 48226 |
| Practice Telephone | 3137455515 |
| Practice Fax Number | 3137455237 |
| Mailing Telephone | 8087415153 |
| Mailing Fax Number | 3137455237 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
4301109322 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 6485 | HI | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE MEDICAL LICENSE | 4301109322 | 01 |
| Street Address |
3901 BEAUBIEN ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151238 | Mark Campbell | Nurse Anesthetist, Certified Registered | 3901 Beaubien St, Detroit, MI 48201-2119 | 2005-08-18 |
| 1164037735 | Mamdouh Dakhel A Alahmadi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-09-10 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1346864550 | Mariane Tomiyoshi Asato | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-06-03 |
| 1629691613 | Abigail Marie Troy | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-05-25 |
| 1235750373 | Katherine Marie Obudzinski | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-04-29 |
| 1548880073 | Sara Mercedes Evans | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1619597069 | Zahur Fatima Sallman | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1154941706 | Saira Tariq | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| 1063032688 | Michael Allen Finkel | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700051224 | Akash Nahar | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-04-25 |
| 1881867984 | Bulent Ozgonenel | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-04-09 |
| 1285843672 | Michael Urban Callaghan | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-05-22 |
| 1003990318 | Henry Ford Health System | Pediatrics | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
| 1124347497 | George Lewis Royer Jr. | Pediatrics | 1750 Greenbriar Dr, Portage, MI 49024-5785 | 2010-05-25 |
| 1679701692 | Tania Tusharkanti Sarker | Pediatrics | 2700 Hamlin Boulevard, Inkster, MI 48141 | 2009-06-29 |
| 1942403720 | Troy Christopher Quigg | Pediatrics | 100 Michigan St Ne Fl 10, Grand Rapids, MI 49503-2560 | 2007-06-07 |
| 1922063478 | Laura K Gowans | Pediatrics | 3577 West 13 Mile Road, Suite 101, Royal Oak, MI 48073 | 2006-04-19 |
| 1427051200 | Joseph Mirro Jr. | Pediatrics | 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 | 2005-05-24 |
| 1740802958 | Msu Health Care Inc. | Pediatrics | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2020-05-11 |
| 1972030567 | Jillian Lapinski | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-05-15 |
| 1689037954 | Joshua Goldman | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2016-04-03 |
| 1023402906 | Charles Nathaniel Nessle | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2015-03-27 |
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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.