ELIZABETH BOBO (NPI# 1841670510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841670510 |
| Entity Type | Individual |
| Full Name | ELIZABETH BOBO |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1535 Gull Rd Suite 150 Kalamazoo MI 49048-1650 |
| Practice Telephone | 2693499745 |
| Practice Fax Number | 2693497378 |
| Mailing Telephone | 2693499745 |
| Mailing Fax Number | 2693497378 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704249604 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881812303 | Elizabeth Ann Bobo | Specialist | 5286 Parkside Dr, Paducah, KY 42001-7466 | 2007-04-22 |
| 1396216487 | Elizabeth R Bobo | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2018-12-16 |
| 1497288328 | Elizabeth Bobo | Dietitian, Registered | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2017-04-07 |
| Street Address |
1535 GULL RD SUITE 150 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273855 | Umakant Shivlal Doctor | Internal Medicine | 1535 Gull Rd, Ste 110, Kalamazoo, MI 49048-1630 | 2005-05-23 |
| 1417489931 | Katheryn Elisabeth Clark | Advanced Practice Midwife | 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 | 2017-04-03 |
| 1649714452 | Susan Doan | Physician Assistant | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-12-13 |
| 1144673070 | Kristen Dib | Advanced Practice Midwife | 1535 Gull Rd, Kalamazoo, MI 49048-1650 | 2016-07-15 |
| 1366897670 | Kalamazoo Acute Care Specialists Plc | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-04-25 |
| 1194163246 | Tabitha Jane Ewert | Physician Assistant | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1650 | 2013-06-11 |
| 1578858676 | Michael Robert Mcbride | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2011-06-16 |
| 1295979474 | Lewis Jeremy Johnson | Surgery | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2009-05-01 |
| 1134361215 | Michael Lee Adix II | Radiology | 1535 Gull Rd, Suite #200, Kalamazoo, MI 49048-1650 | 2009-04-03 |
| 1871757708 | Suresh Potluri | Specialist | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2008-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619903 | Eric Dejong | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-10-08 |
| 1598306052 | Tatiana Burkholder | Nurse Practitioner | 601 John St Ste M-124, Kalamazoo, MI 49007-5377 | 2019-10-04 |
| 1487204020 | Laurie Ann Townsley | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2019-09-16 |
| 1578022042 | Tsana Nitowaukia Mattice | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2019-03-14 |
| 1336604354 | Kaitlyn Hope Collette | Nurse Practitioner | 601 John St Ste M-124, Kalamazoo, MI 49007-5377 | 2019-02-04 |
| 1700357803 | Amanda Pentland | Nurse Practitioner | 445 W Michigan Ave, Kalamazoo, MI 49007-3750 | 2018-12-16 |
| 1417422700 | Christina Margaret Lawson | Nurse Practitioner | 2490 S 11th St, Kalamazoo, MI 49009-2175 | 2018-10-12 |
| 1073088357 | Christie Graziano | Nurse Practitioner | 1521 Gull Road, Kalamazoo, MI 49048 | 2018-10-12 |
| 1922573260 | Stephanie Shawn Nelsen | Nurse Practitioner | 601 John St, Kalamazoo, MI 49007-5341 | 2018-10-12 |
| 1063995173 | Angela Kay Roberts | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2018-09-13 |
| Find all providers in KALAMAZOO | ||||
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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.