DANIEL E KISLOV, M.D.


Address: 1675 Leahy St, Suite 328, Muskegon, MI 49442-5500
Phone: 2317275565

DANIEL E KISLOV, M.D. (NPI# 1063680585) 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) 1063680585
Entity Type Organization
Organization Name DANIEL E KISLOV, M.D.
Practice Address 1675 Leahy St
Suite 328
Muskegon
MI 49442-5500
Practice Telephone 2317275565
Practice Fax Number 2317275568
Mailing Telephone 2317275565
Mailing Fax Number 2317275568
Enumeration Date 2008-02-19
Last Update Date 2008-02-19
Authorized Official Name DANIEL E KISLOV (OWNER)
Authorized Official Telephone 2317275565
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1697919 05
MI BSBCM 2406108272 01

Office Location

Street Address 1675 LEAHY ST
SUITE 328
City MUSKEGON
State MI
Zip Code 49442-5500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962405357 Byron L Varnado Family Medicine 1675 Leahy St, Ste 301, Muskegon, MI 49442-5543 2005-05-31
1083269641 Sheva Anayah Loncle Physician Assistant 1675 Leahy St, Muskegon, MI 49442-5500 2019-08-09
1790277101 Felisa Saldutti Student in an Organized Health Care Education/Training Program 1675 Leahy St, Muskegon, MI 49442-5500 2018-05-31
1245768951 Erin Nicole Deprekel Student in an Organized Health Care Education/Training Program 1675 Leahy St, Muskegon, MI 49442-5500 2017-05-24
1659807709 Irfan Ahmed Khan Student in an Organized Health Care Education/Training Program 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 2017-05-11
1740715689 William Brady Alling Student in an Organized Health Care Education/Training Program 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 2017-04-28
1093240103 Cassondra Wass Student in an Organized Health Care Education/Training Program 1675 Leahy St, Suite 201a, Muskegon, MI 49442-5500 2017-04-26
1740713551 Brynn Schumacher Student in an Organized Health Care Education/Training Program 1675 Leahy St, Suite 315, Muskegon, MI 49442-5500 2017-04-07
1083156723 Sara Farwig Physician Assistant 1675 Leahy St, Suite 324b, Muskegon, MI 49442-5500 2016-11-11
1336590728 Eliza Newbury-palma Family Medicine 1675 Leahy St, Suite 315a, Muskegon, MI 49442-5500 2016-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205472321 Beacon of Light Counseling LLC Social Worker 1515 E Laketon Ave, Muskegon, MI 49442 2019-11-24
1528524410 Tyler Companion Social Worker 710 Mclaughlin, Muskegon, MI 49442 2019-02-15
1427549658 Amber Renee Davidson Behavioral Analyst 1175 Wesley Street, Muskegon, MI 49442 2018-05-23
1528559085 Katherine Dale Kirby Obstetrics & Gynecology Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 2018-05-21
1023524303 Aaron James Dortch Social Worker 571 E Appleave, Muskegon, MI 49442 2017-12-21
1043737554 Jessica Nicole Moskalewski Social Worker 125 E. Catherine, Muskegon, MI 49442 2017-08-25
1427587831 Cristina J Walcott Social Worker 1611 Oak Avenue, Muskegon, MI 49442 2017-06-08
1104352244 Jessica Lee Bailey-yabani Counselor 35 S Sheridan Dr, Muskegon, MI 49442 2017-05-11
1538514518 Andrew G Gregson Internal Medicine 1675 Leahy Street Suite 201a, Muskegon, MI 49442 2016-04-27
1487038287 Mark Charles Kaufman Social Worker 1611 Oak Ave., Muskegon, MI 49442 2015-07-13
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770659872 Daniel E Kislov Surgery 1675 Leahy Street, Suite 328, Muskegon, MI 49442-5543 2006-11-28
1346353331 Stephen E Fisher Surgery 1675 Leahy St, Suite 326 B, Muskegon, MI 49442-5500 2006-08-16
1306809546 Dena W Thayer Surgery 1316 Mercy Dr, Muskegon, MI 49444-1835 2006-04-10
1255394482 Stephen N Zonca Surgery 1316 Mercy Dr, Muskegon, MI 49444-1835 2006-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629528765 Paragon Health, P.C. Surgery 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 2016-10-13
1487091989 Trevor K O'brien Surgery 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 2013-05-24
1851689525 Robert Moore Oneal Surgery 501 Onondaga St, Ann Arbor, MI 48104-2606 2011-07-15
1902072952 Michigan Cosmetic & Reconstructive Surgery Pllc Surgery 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 2008-04-30
1518184175 Halil Ibrahim Canter Surgery 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 2007-04-18
1285756148 Andrea Emma Van Pelt Surgery 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 2007-04-04
1083741367 Kenneth Wolf Surgery 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 2007-02-27
1972630259 Lauran Bryan Surgery 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 2007-02-27
1689761439 John J Iacobucci Surgery 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 2006-10-05
1710996319 Ewa D Komorowska-timek Surgery 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 2006-08-05
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Competitor

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City MUSKEGON
Zip Code 49442

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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