DR. ELY SHAPIRO (NPI# 1154359149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154359149 |
Entity Type | Individual |
Full Name | DR. ELY SHAPIRO |
Credential | M.D. |
Practice Address |
501 S Drake Rd Kalamazoo MI 49009-3234 |
Practice Telephone | 2693431296 |
Practice Fax Number | 2693448485 |
Mailing Telephone | 2693431296 |
Mailing Fax Number | 2693448485 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2010-03-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | ES430107 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS OF MI | 0C91567 | 01 |
MI | BLUE CARE NETWORK | 0C91567 | 01 |
MI | AETNA | 5761707 | 01 |
MI | 5466660 | 05 |
Street Address |
501 S DRAKE RD |
City | KALAMAZOO |
State | MI |
Zip Code | 49009-3234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639616154 | Jodi Wespinter | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2017-01-22 |
1962873828 | Theresa Jordan Meinert | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2015-10-16 |
1043650765 | Desmond Alexander Jackson | Internal Medicine | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2013-06-26 |
1285071589 | Rose A Gilani | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2013-05-28 |
1619249752 | Jacqueline Yvette Taylor | Audiologist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2012-02-06 |
1053589960 | Paragon Health PC | Otolaryngology | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2008-02-13 |
1639361496 | Adult & Pediatric Ear, Nose & Throat Plc | Specialist | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2007-08-15 |
1003831298 | Martin Joseph Clinard | Physician Assistant | 501 S Drake Rd, Kalamazoo, MI 49009-3234 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
Find all providers in zip 49009 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952347155 | Christopher Perry Smith | Otolaryngology | 501 South Drake Road, Kalamazoo, MI 49009-3234 | 2006-06-22 |
1023085784 | Hugo K Roesler | Otolaryngology | 1141 S Rose St, Suite A, Kalamazoo, MI 49001-2652 | 2006-03-01 |
1578163820 | Lauren Vernice Oliver | Otolaryngology | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2020-10-27 |
1225352792 | Corbin Draper Sullivan | Otolaryngology | 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 | 2010-03-26 |
1285855189 | Healthcare Midwest PC | Otolaryngology | 601 John St, Suite M273, Kalamazoo, MI 49007-5341 | 2007-05-01 |
1699710566 | Leslie Steven Szeles | Otolaryngology | 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 | 2006-06-17 |
1801837232 | David A Milko | Otolaryngology | 601 John St, Suite M-273, Kalamazoo, MI 49007-5341 | 2006-06-09 |
1871532705 | Cecilia Marie Prophit | Otolaryngology | 601 John St, Suite M273, Kalamazoo, MI 49007-5341 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
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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.