DR. FREDERIC CARL BISHKO (NPI# 1639317696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639317696 |
| Entity Type | Individual |
| Full Name | DR. FREDERIC CARL BISHKO |
| Credential | M.D. |
| Practice Address |
2679 Rocklyn Rd Shaker Heights OH 44122-2112 |
| Practice Telephone | 2168310390 |
| Practice Fax Number | 2164643929 |
| Mailing Telephone | 2168310390 |
| Mailing Fax Number | 2164643929 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
35. 028342 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2679 ROCKLYN RD |
| City | SHAKER HEIGHTS |
| State | OH |
| Zip Code | 44122-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1487048617 | Juliette Yedimenko | Internal Medicine | 9500 Euclid Ave # A50, Cleveland, OH 44195-0001 | 2015-03-25 |
| 1740623628 | Licking Memorial Professional Corporation | Internal Medicine | 1272 West Main Street Bldg 2, Ste 4, Newark, OH 43055 | 2013-04-10 |
| 1790020501 | Bruce Wall | Internal Medicine | 700 Ackerman Rd Ste 580, Columbus, OH 43202-1589 | 2012-12-05 |
| 1942563218 | Beatrice Kenol | Internal Medicine | 3691 Ridge Mill Dr Fl 1, Hilliard, OH 43026-7752 | 2012-06-20 |
| 1902136443 | Thomas James Romano | Internal Medicine | 205 N 5th St, Martins Ferry, OH 43935-1530 | 2010-01-06 |
| 1295061224 | Robert V. Hemphill | Internal Medicine | 1241 Briarhill Spur, Akron, OH 44333 | 2009-10-27 |
| 1639332265 | Shailey Desai | Internal Medicine | 9500 Euclid Ave Desk A50, Cleveland, OH 44195 | 2008-07-03 |
| 1407049133 | May Azem | Internal Medicine | 7527 Fredle Dr, Concord Twp, OH 44077-9406 | 2007-08-27 |
| 1366649535 | Marcos Estrada Gomez | Internal Medicine | 7502 State Rd Ste 2290, Cincinnati, OH 45255-2800 | 2007-06-29 |
| Find all providers with the same taxonomy | ||||
| City | SHAKER HEIGHTS |
| Zip Code | 44122 |
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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.