KIROS M MEKONNEN (NPI# 1174561831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174561831 |
| Entity Type | Individual |
| Full Name | KIROS M MEKONNEN |
| Credential | MD |
| Practice Address |
2333 Biddle St Wyandotte MI 48192-4668 |
| Mailing Address |
2000 Green Rd Suite 300 Ann Arbor MI 48105-1598 |
| Practice Telephone | 3132849400 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
065385 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC/BS | KM065385 | 01 |
| MI | 4205712 | 05 |
| Street Address |
2333 BIDDLE ST |
| City | WYANDOTTE |
| State | MI |
| Zip Code | 48192-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434567 | David Bradford Barker | Physical Medicine & Rehabilitation | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2005-06-01 |
| 1790969418 | Adrienne L Hane | Nurse Anesthetist, Certified Registered | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-12-18 |
| 1891979514 | Jill M Donais | Nurse Anesthetist, Certified Registered | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-12-18 |
| 1629267695 | Debra M. Wojno | Dietitian, Registered | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-10-16 |
| 1093901035 | Henry Ford Wyandotte Hospital | Clinic/Center | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-09-24 |
| 1063611796 | Satheesh Gunaga | Emergency Medicine | 2333 Biddle St, Henry Ford Wyandotte Hospital Dept of Medical Education, Wyandotte, MI 48192-4668 | 2007-07-12 |
| 1407067036 | Joyce A Bonventre | Registered Nurse | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-05-25 |
| 1972712131 | Lynda Lee Roberts | Radiologic Technologist | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-05-22 |
| 1952510505 | David Joseph Kehler | Radiologic Technologist | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-05-21 |
| 1609084896 | Bhavna M Patel | Radiologic Technologist | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2007-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1912483819 | Fast Care Pharmacy LLC | Pharmacy | 1209 Fort St, Wyandotte, MI 48192 | 2018-07-13 |
| 1518464106 | Tyson Reed Mckechnie | Emergency Medicine | Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 | 2018-04-10 |
| 1275038572 | Joanna Fourtounis | Emergency Medicine | Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-28 |
| 1841794120 | Henry Tan | Student in an Organized Health Care Education/Training Program | Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 | 2018-03-21 |
| 1174042857 | Ashley Marie Kobylasz | Social Worker | 1506 16th Street, Wyandotte, MI 48192 | 2017-09-14 |
| 1831630631 | Vanessa Majeski | Surgery | 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-13 |
| 1346796984 | Jordan Yagiela | Community/Behavioral Health | 1940 Ludington Street, Wyandotte, MI 48192 | 2016-09-01 |
| 1649642505 | Superior Visions Inc | In Home Supportive Care | 2709 Fort Street, Wyandotte, MI 48192 | 2015-10-30 |
| Find all providers in zip 48192 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265759922 | Cassie Ann Welt | Emergency Medicine | 2333 Biddle Ave, Wyandotte, MI 48192-4668 | 2010-04-21 |
| 1164454948 | Vipul Kella | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-07-06 |
| 1508809963 | Robert H Mccurren | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-06-14 |
| 1578506408 | Gregory Henry | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-06-14 |
| 1164465621 | Frederick F Broniak | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-06-13 |
| 1023057684 | Elizabeth S Plemmons | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-06-06 |
| 1841239100 | Spencer J Solomon | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-06-05 |
| 1699713438 | Mark K Stern | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-06-03 |
| 1366489163 | Brian K Meyers | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-06-01 |
| 1154377646 | Raj Sekhon | Emergency Medicine | 2333 Biddle St, Wyandotte, MI 48192-4668 | 2006-05-26 |
| Find all providers in WYANDOTTE | ||||
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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.