KEVIN SURFACE (NPI# 1639562358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639562358 |
| Entity Type | Individual |
| Full Name | KEVIN SURFACE |
| Credential | DO |
| Practice Address |
1221 South Dr Mt Pleasant MI 48858 |
| Mailing Address |
2727 S Pennsylvania Ave Lansing MI 48910-3488 |
| Practice Telephone | 9897726700 |
| Mailing Telephone | 5179753750 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5101021776 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1639562358 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 W Greenlawn Ave, Lansing, MI 489102819 | 5179753750 |
| Street Address |
1221 SOUTH DR |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845072 | Amy Jo Gregory | Nurse Practitioner | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-09-09 |
| 1386254563 | Joseph Yi Zhou | Student in an Organized Health Care Education/Training Program | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-08-03 |
| 1255850111 | Emergency Physician Associates of Michigan PC | Emergency Medicine | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2017-09-12 |
| 1386178457 | Hesham Gayar, Md, PC | Specialist | 1221 South Dr, Morey Cancer Center Radiation Dept, Mt Pleasant, MI 48858-3257 | 2017-04-17 |
| 1942756325 | Ashley Lynn Mathew | Nurse Practitioner | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2016-08-26 |
| 1285023184 | Mclaren Emergency Services PC | Emergency Medicine | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2015-01-15 |
| 1740549179 | Central Michigan Community Hospital Radiation Oncology | Radiology | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2012-05-04 |
| 1356648828 | David Caraballo | Registered Nurse | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2011-02-18 |
| 1013235159 | Kyle Gilde | Anesthesiology | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2010-05-13 |
| 1366686941 | Mclaren Central Michigan | General Acute Care Hospital | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2009-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1679045827 | Excela Health Physician Practices, Inc. | Internal Medicine | 508 S Church St Ste 100, Mt Pleasant, PA 15666-1702 | 2018-12-28 |
| 1104210582 | Utibe Effiong | Internal Medicine | 4851 E Pickard St Ste 1760, Mt Pleasant, MI 48858 | 2015-03-24 |
| 1982011615 | Malathy Tharumarajah | Internal Medicine | 2935 Health Pkwy Ste B, Mt Pleasant, MI 48858-8931 | 2014-07-15 |
| 1790102697 | Jeffrey A. Khabir, Md, Pllc | Internal Medicine | 1985 Parkland St, Mt Pleasant, MI 48858-6017 | 2014-03-28 |
| 1093138612 | Roper Saint Francis Physicians Network | Internal Medicine | 180 Wingo Way Ste 110, Mt Pleasant, SC 29464-1810 | 2014-02-03 |
| 1962676254 | Tannu Sahay | Internal Medicine | 4851 E Pickard St Ste 2070, Mt Pleasant, MI 48858-2039 | 2008-04-17 |
| 1477749208 | Mark Thomas Burbridge | Internal Medicine | 900 Bowman Rd Ste 103, Mt Pleasant, SC 29464-3218 | 2007-09-14 |
| 1568522001 | Serenity Internal Medicine, LLC | Internal Medicine | 570 Long Point Rd Ste 230, Mt Pleasant, SC 29464-7932 | 2006-12-12 |
| 1467530428 | Faris Peter Atchoo | Internal Medicine | 314 S Brown St, Mt Pleasant, MI 48858 | 2006-11-01 |
| 1093896029 | Larry Bennett Medical LLC | Internal Medicine | 217 W Broadway St, Mt Pleasant, MI 48858-2576 | 2006-10-18 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
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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.