KENNETH WALTER KAUFMANN II (NPI# 1083925119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083925119 |
| Entity Type | Individual |
| Full Name | KENNETH WALTER KAUFMANN II |
| Credential | M.D. |
| Practice Address |
42 N Saint Joseph Ave Suite 201 Niles MI 49120-2203 |
| Practice Telephone | 2696870808 |
| Practice Fax Number | 2696870811 |
| Mailing Telephone | 2696870808 |
| Mailing Fax Number | 2696870811 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2015-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301104869 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
42 N SAINT JOSEPH AVE SUITE 201 |
| City | NILES |
| State | MI |
| Zip Code | 49120-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675140 | Jennifer Lynn Zizzo | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2005-11-03 |
| 1609235837 | Elda Nelson | Nurse Practitioner | 42 N Saint Joseph Ave, Niles, MI 49120-2203 | 2016-02-16 |
| 1578979415 | Lakeland Medical Practices | Internal Medicine | 42 N Saint Joseph Ave, Suite 302, Niles, MI 49120-2203 | 2014-07-10 |
| 1184988040 | Van's Medical Equipment of Lakeland, LLC | Durable Medical Equipment & Medical Supplies | 42 N Saint Joseph Ave, Suite 102, Niles, MI 49120-2208 | 2012-06-26 |
| 1932493863 | Lakeland Medical Practices | Urology | 42 N Saint Joseph Ave, Suite 200, Niles, MI 49120-2208 | 2011-06-08 |
| 1376863407 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120-2208 | 2010-06-11 |
| 1104145002 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2208 | 2010-05-18 |
| 1033438932 | Lakeland Medical Practices | Clinic/Center | 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120-2203 | 2010-05-18 |
| 1033442421 | Laurie Ann Gee | Nurse Practitioner | 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120-2203 | 2009-09-16 |
| 1851523377 | Jill L Gorsuch | Surgery | 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120-2203 | 2009-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1578944328 | Thomas Wechter | Obstetrics & Gynecology | 42 N Saint Joseph Ave Ste 201, Niles, MI 49120-2203 | 2015-06-17 |
| 1780846261 | Meghan K. Murphy | Obstetrics & Gynecology | 42 North St. Joseph Ave., Suite 201, Niles, MI 49120-2208 | 2008-06-26 |
| 1518934363 | James W. Bateman | Obstetrics & Gynecology | 60 North St. Joseph Ave., Ste. B, Niles, MI 49120-2282 | 2006-03-01 |
| 1811389570 | Lakeland Immediate Care Center | Obstetrics & Gynecology | 60 N Saint Joseph Ave, Suite B, Niles, MI 49120-2296 | 2015-03-04 |
| 1336398684 | Comprehensive Care for Women of The Mahoning Valley, Inc | Obstetrics & Gynecology | 1252 Youngstown Warren Rd, Suite B, Niles, OH 44446-4650 | 2008-09-11 |
| 1922172832 | Emad Shawky Baky | Obstetrics & Gynecology | 1252 Youngstown Warren Rd, Suite B, Niles, OH 44446-4650 | 2006-11-20 |
| 1134158272 | Karen D Zienert | Obstetrics & Gynecology | 42 N Saint Joseph Ave, 201, Niles, MI 49120-2203 | 2006-07-01 |
| 1750327631 | Thomas L Ritter | Obstetrics & Gynecology | 60 N Saint Joseph Ave, Niles, MI 49120-2296 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
| 1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
| 1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
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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.