ADULT ENDOCRINOLOGY CONSULTANTS, PC (NPI# 1114107067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114107067 |
| Entity Type | Organization |
| Organization Name | ADULT ENDOCRINOLOGY CONSULTANTS, PC |
| Practice Address |
3145 W Clark Rd Ste 104 Ypsilanti MI 48197-1120 |
| Practice Telephone | 7347792136 |
| Mailing Telephone | 7347792136 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | DR. ANTHONY JOHN KILBANE (PRESIDENT) |
| Authorized Official Telephone | 7347792136 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301052982 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3145 W CLARK RD STE 104 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408161 | Fayek Nicholas Shamma | Obstetrics & Gynecology | 3145 W Clark Rd, Ste 301, Ypsilanti, MI 48197-1120 | 2005-06-22 |
| 1578011615 | Justin Diebold | Physical Therapist | 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 | 2016-09-19 |
| 1588112619 | Ronald P. Adelman Dpm Pllc | Podiatrist | 3145 W Clark Rd, #201, Ypsilanti, MI 48197-1120 | 2016-09-19 |
| 1548717713 | Charlotte Cahill | Physical Therapist | 3145 W Clark Rd, 106, Ypsilanti, MI 48197-1120 | 2016-09-06 |
| 1699149997 | Patricia Watkins | Registered Nurse | 3145 W Clark Rd, Suite 303, Ypsilanti, MI 48197-1120 | 2015-11-24 |
| 1316321136 | Nathan Kangas | Physical Therapist | 3145 W Clark Rd, Ste 102, Ypsilanti, MI 48197-1120 | 2015-07-10 |
| 1801276274 | Washtenaw Podiatry Group, LLC | Podiatrist | 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197-1120 | 2015-06-01 |
| 1689061467 | Chelsea Professional Services | Internal Medicine | 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197-1120 | 2015-04-20 |
| 1346632106 | Kevern Hartmann | Physical Therapist | 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 | 2015-03-03 |
| 1952793804 | Cara House | Physical Therapist | 3145 W Clark Rd, Ypsilanti, MI 48197-1120 | 2015-03-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730292020 | Anthony John Kilbane | Internal Medicine | 5333 Mcauley Dr Rm 2009, Ypsilanti, MI 48197-1095 | 2006-08-17 |
| 1104001841 | Suma Lakshmi Amarnath | Internal Medicine | 5333 Mcauley Dr, Suite 6014, Ypsilanti, MI 48197-1014 | 2007-12-31 |
| 1396967022 | Anita Lopes Repp | Internal Medicine | 5333 Mcauley Dr, Rhb 5115, Ypsilanti, MI 48197-1014 | 2007-05-03 |
| 1487776563 | Sima Saberi | Internal Medicine | 5333 Mcauley Dr, Reichert Health Building, Suite 5115, Ypsilanti, MI 48197-1014 | 2007-04-06 |
| 1750445961 | Ann Arbor Endocrinology and Diabetes Associates, P.C. | Internal Medicine | 5333 Mcauley Dr, Reichert Health Bldg Suite 6014, Ypsilanti, MI 48197-1014 | 2006-12-21 |
| 1336207653 | Jeffrey Alan Sanfield | Internal Medicine | 5333 Mcauley Dr, Suite 5115 Reichert Building, Ypsilanti, MI 48197-1014 | 2006-12-06 |
| 1689620296 | Anuradha L Puttagunta | Internal Medicine | 5333 Mcauley Dr, Room 5115, Ypsilanti, MI 48197-1014 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866172 | Grace Endocrine Services Pllc | Internal Medicine | 38864 Hilldale St, Clinton Township, MI 48036-2561 | 2018-10-13 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1003184748 | Khachorndej Vibhasiri | Internal Medicine | 732 Brookwood Walke, Bloomfield Hills, MI 48304-1900 | 2011-12-08 |
| 1427345065 | Ali Alexandru Achira | Internal Medicine | 4700 Greenfield Rd Ste 2c, Dearborn, MI 48126-4124 | 2011-07-04 |
| 1689979569 | Alzohaili Medical Consultants Md PC | Internal Medicine | 5250 Auto Club Dr Ste 200, Dearborn, MI 48126-2619 | 2011-01-24 |
| 1528377082 | Randall Whitcomb | Internal Medicine | 1527 High Hollow Dr, Ann Arbor, MI 48103-9621 | 2010-10-01 |
| 1639400799 | Kp Anandakrishnan Md PC | Internal Medicine | 5189 Venoy Rd, Wayne, MI 48184-2545 | 2010-01-28 |
| 1194962530 | Richard Michael Mortensen | Internal Medicine | 1301 Catherine St, 7641 Medical Sciences II, Ann Arbor, MI 48109-2026 | 2009-01-07 |
| 1235319872 | Endocrine Hospital Consultants, P.C. | Internal Medicine | 4782 Trailview, West Bloomfield, MI 48322-4572 | 2007-11-12 |
| 1174719025 | Center for Preventive Medicine PC | Internal Medicine | 20870 Mack Ave, Grosse Pointe Woods, MI 48236-1388 | 2007-09-24 |
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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.