DR. MARK P KONIUCH (NPI# 1902888233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902888233 |
| Entity Type | Individual |
| Full Name | DR. MARK P KONIUCH |
| Credential | MD |
| Practice Address |
44199 Dequindre Rd Ste 250 Troy MI 48085 |
| Practice Telephone | 2488798441 |
| Practice Fax Number | 2488796841 |
| Mailing Telephone | 2488798441 |
| Mailing Fax Number | 2488796841 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2013-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
4301040857 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 383300551 | 05 |
| Street Address |
44199 DEQUINDRE RD STE 250 |
| City | TROY |
| State | MI |
| Zip Code | 48085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631184 | Ceres A Guzman-morales | Pediatrics | 44199 Dequindre Rd, Suite 222, Troy, MI 48085-1128 | 2005-07-07 |
| 1184274573 | Kristina Brown | Nurse Practitioner | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2019-09-17 |
| 1306320726 | Dominic B Filippis | Physician Assistant | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2018-09-21 |
| 1952790925 | University Neurosurgical Associates PC | Neurological Surgery | 44199 Dequindre Rd, Area C Ste 518, Troy, MI 48085-1128 | 2015-01-14 |
| 1386072122 | Shelley Sue Binkley Md Pllc | Clinic/Center | 44199 Dequindre Rd, Suite 412, Troy, MI 48085-1128 | 2013-10-14 |
| 1255770186 | Rebecka May Olds | Nurse Practitioner | 44199 Dequindre Rd, Ste. 311, Troy, MI 48085-1128 | 2013-06-25 |
| 1598060428 | Timothy P. Baessler, Dpm, PC | Podiatrist | 44199 Dequindre Rd, Suite 112, Troy, MI 48085-1128 | 2011-01-25 |
| 1346551074 | Comprehensive Breast Care Pllc | Surgery | 44199 Dequindre Rd, Suite 609, Troy, MI 48085-1128 | 2010-06-28 |
| 1043549165 | Josephine Iskander, Md Pllc | Medicare Defined Swing Bed Unit | 44199 Dequindre Rd, Ste 304, Troy, MI 48085-1128 | 2009-12-19 |
| 1467618694 | Mary Chisholm Jordan | Obstetrics & Gynecology | 44199 Dequindre Rd, Suite 415, Troy, MI 48085-1128 | 2008-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730120361 | John Michael Trupiano | Orthopaedic Surgery | 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 | 2006-06-08 |
| 1144696188 | Christina Endress Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
| 1720216187 | William R. Truluck II Do Pllc | Orthopaedic Surgery | 3945 Okemos Rd Ste B4, Okemos, MI 48864 | 2009-06-24 |
| 1215101290 | Ruth Marie Baer | Orthopaedic Surgery | 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 | 2008-04-21 |
| 1962617639 | William Ray Truluck | Orthopaedic Surgery | 1841 Newman Rd, Suite, Okemos, MI 48864-1122 | 2007-05-14 |
| 1710102389 | Uzma Rehman Do PC | Orthopaedic Surgery | 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 | 2007-04-17 |
| 1386651487 | B Kent Maupin Md PC | Orthopaedic Surgery | 1001 Medical Park Dr Se, Suite 211, Grand Rapids, MI 49546-3610 | 2006-08-02 |
| 1033140959 | Frederick Victor Minkow | Orthopaedic Surgery | 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 | 2006-07-06 |
| 1245261007 | Stephen Edward Werner | Orthopaedic Surgery | 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 | 2006-07-06 |
| 1801839816 | David L Gerstner | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2006-06-14 |
| 1164408985 | Steven Alan Kushner | Orthopaedic Surgery | 3272 E 12 Mile Rd Ste 106, Deerfield Meadows, Warren, MI 48092-5622 | 2005-12-22 |
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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.