KATHLEEN M ROLLINGER (NPI# 1912908245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912908245 |
| Entity Type | Individual |
| Full Name | KATHLEEN M ROLLINGER |
| Credential | D.O. |
| Practice Address |
21400 E 11 Mile Rd St Clair Shores MI 48081-1502 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 5864984400 |
| Practice Fax Number | 5864984440 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101009605 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4269694 | 05 |
| Street Address |
21400 E 11 MILE RD |
| City | ST CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129588 | Elizabeth Gail Blunden | Obstetrics & Gynecology | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-07-28 |
| 1518953488 | Beaumont Pharmacy and Health Services Inc | Pharmacy | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-09-26 |
| 1871594135 | Carl Anthony Rasimas | Family Medicine | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-08-09 |
| 1861493124 | Nabil Kamal Rizk | Family Medicine | 21400 E 11 Mile Rd, St Clair Shores, MI 48081-1502 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366544058 | Janaina Matteussi Zilli | Family Medicine | 28001 Harper Ave, St Clair Shores, MI 48081-1561 | 2006-09-02 |
| 1659392496 | Rajiv Agrawal | Family Medicine | 23600 Harper Avenue, Suite 102, St Clair Shores, MI 48080 | 2006-07-21 |
| 1174549299 | Rhetta Faye C Maribao | Family Medicine | 21600 Harper Avenue, 100, St Clair Shores, MI 48080 | 2006-07-14 |
| 1205828498 | Donna M Hoban | Family Medicine | 22646 E 9 Mile Rd, Suite A, St Clair Shores, MI 48080-1951 | 2005-08-16 |
| 1972552560 | William James Vornberger | Family Medicine | 21099 Masonic Blvd, St Clair Shores, MI 48082-1045 | 2006-05-09 |
| 1891761821 | Anthony Paniccia | Family Medicine | 19901 E 10 Mile Rd, St Clair Shores, MI 48080-1069 | 2006-02-28 |
| 1174515779 | Eileen Margaret Reickert | Family Medicine | 24911 Little Mack Ave, St Clair Shores, MI 48080-3200 | 2005-08-19 |
| 1588656102 | Kathleen M Fulgenzi | Family Medicine | 24911 Little Mack Ave, St Clair Shores, MI 48080-3200 | 2005-08-19 |
| 1306838834 | Mary E Murphy | Family Medicine | 24911 Little Mack Ave, St Clair Shores, MI 48080-3200 | 2005-08-19 |
| 1992797898 | Daniel Stachelski | Family Medicine | 22646 E 9 Mile Rd, Suite A, St Clair Shores, MI 48080-1951 | 2005-08-17 |
| Find all providers in ST CLAIR SHORES | ||||
| City | ST CLAIR SHORES |
| Zip Code | 48081 |
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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.