MRS. CAROLE L KOWALCZYK (NPI# 1053472027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053472027 |
| Entity Type | Individual |
| Full Name | MRS. CAROLE L KOWALCZYK |
| Credential | MD |
| Practice Address |
4700 E. 13 Mile Road Suite 200 Warren MI 48092 |
| Practice Telephone | 5865760431 |
| Practice Fax Number | 5865760924 |
| Mailing Telephone | 5865760431 |
| Mailing Fax Number | 5865760924 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
4301054864 | MI | Allopathic & Osteopathic Physicians |
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
CK 054864 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4700 E. 13 MILE ROAD SUITE 200 |
| City | WARREN |
| State | MI |
| Zip Code | 48092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952696346 | Michigan Center for Fertility and Womens Health, Plc | Obstetrics & Gynecology | 4700 E 13 Mile Rd, Warren, MI 48092-4438 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023282647 | Edwin Peter Peterson | Obstetrics & Gynecology | 375 W Northfield Church Rd, Ann Arbor, MI 48105 | 2008-04-15 |
| 1801081625 | Advanced Reproductive Medicine & Surgery, PC | Obstetrics & Gynecology | 4190 Telegraph Rd, Suite 1500, Bloomfield Hills, MI 48302-2079 | 2007-09-14 |
| 1861571150 | Fereshteh Fahimi | Obstetrics & Gynecology | Spb 1200 E Michigan Ave, Suite 305, Lansing, MI 48912 | 2006-11-06 |
| 1851324610 | Grand Rapids Fertility & Ivf, PC | Obstetrics & Gynecology | 555 Mid Towne St Ne, Ste 300, Grand Rapids, MI 49503-2515 | 2006-07-07 |
| 1902867625 | Manvinder Singh | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-03-31 |
| 1740240654 | Alexander Maximovich | Obstetrics & Gynecology | 4190 Telegraph Road, Suite 1500, Bloomfield Hills, MI 48302 | 2006-03-24 |
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1407838535 | Asghar Afsari | Obstetrics & Gynecology | 7419 Middlebelt Rd, Suite 1, West Bloomfield, MI 48322-4182 | 2005-11-15 |
| 1629364856 | Phillip W Lambert Md PC | Obstetrics & Gynecology | 341 Canterbury Dr, Saginaw, MI 48638-5812 | 2011-06-27 |
| Find all providers with the same taxonomy | ||||
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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.