TOBIAS PHILIP KEENEY-BONTHRONE


Address: Academic Surgery Clinic, 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197-8633
Phone: 7347123971

TOBIAS PHILIP KEENEY-BONTHRONE (NPI# 1881157311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881157311
Entity Type Individual
Full Name TOBIAS PHILIP KEENEY-BONTHRONE
Practice Address Academic Surgery Clinic
5333 Mcauley Drive, Suite 2115
Ypsilanti
MI 48197-8633
Mailing Address 4730 Palmer Dr
Parma
MI 49269-9671
Practice Telephone 7347123971
Mailing Telephone 8164015417
Enumeration Date 2019-04-11
Last Update Date 2019-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address ACADEMIC SURGERY CLINIC
5333 MCAULEY DRIVE, SUITE 2115
City YPSILANTI
State MI
Zip Code 48197-8633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275152357 John Mark Becker Student in an Organized Health Care Education/Training Program Academic Surgery Clinic, 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197-8633 2020-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700423092 Devika Dibya Choudhuri Counselor 135 Porter West Circle Drive, Ypsilanti, MI 48197 2019-12-05
1770128837 Brian Lee Shue Registered Nurse 6277 Maplehurst Dr, Ypsilanti, MI 48197 2019-11-13
1639721566 Darlene E Bellers 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 2019-07-11
1073165874 Eastern Michigan University Dietitian, Registered Suite 160 Rackham, Ypsilanti, MI 48197 2019-07-11
1447815469 Rainbow Rehabilitation Centers, Inc. Community Based Residential Treatment Facility, Mental Illness 6200 Textile Rd, Ypsilanti, MI 48197 2019-05-06
1417416298 Justin Brewer Student in an Organized Health Care Education/Training Program 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 2019-03-19
1124519780 Great Lakes Mindfulness LLC Community/Behavioral Health 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 2018-05-19
1841799715 Bedside Angel's Home Care, LLC Home Health 2032 S. Congress Street, Ypsilanti, MI 48197 2018-02-06
1891211777 Brandon James Kukal Specialist/Technologist 799 N Hewitt, Ypslinati, MI 48197 2017-08-22
1669908737 Michael Bekkerman Student in an Organized Health Care Education/Training Program 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 2017-05-10
Find all providers in zip 48197

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306453303 Eddie D Williams Student in an Organized Health Care Education/Training Program 507 Pearl St, Ypsilanti, MI 48197-2076 2020-09-24
1548878390 Mobina Shrestha Student in an Organized Health Care Education/Training Program 5333 Mcauley Drive, Academic Internal Medicine Clinic, Suite 4001, Ypsilanti, MI 48197-8633 2020-07-17
1790313849 Cynthia Elizabeth Tetreault Student in an Organized Health Care Education/Training Program 5333 Mcauley Drive, Suite 2120, Ypsilanti, MI 48197-8633 2020-04-01
1144861527 Naiomi C Wilson Student in an Organized Health Care Education/Training Program 4910 Sycamore Dr, Ypsilanti, MI 48197-6107 2019-10-07
1417416298 Justin Brewer Student in an Organized Health Care Education/Training Program 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 2019-03-19
1912499104 Zachary Michael Vigliotti Student in an Organized Health Care Education/Training Program 413 W Forest Ave Apt 5, Ypsilanti, MI 48197-8141 2018-06-04
1134625585 Carter Burson Anderson Student in an Organized Health Care Education/Training Program Academic Ob/gyn Clinic, 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 2018-04-04
1841795556 Ann Elizabeth Hutchison Student in an Organized Health Care Education/Training Program 5333 Mcauley Dr Rm 2115, Ypsilanti, MI 48197-1097 2018-03-26
1720582794 Angela Miciura Student in an Organized Health Care Education/Training Program 5333 Mcauley Dr Rm 2215, Ypsilanti, MI 48197-1097 2018-03-22
1508386210 Lauren E. Schrock Student in an Organized Health Care Education/Training Program 200 Arnet St Ste 200, Ypsilanti, MI 48198-5753 2017-06-23
Find all providers in YPSILANTI

Competitor

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City YPSILANTI
Zip Code 48197

Improve Information

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Dataset Information

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.

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