DR. PAUL EVAN KILGORE


Address: 259 Mack Ave, Suite 2118, Detroit, MI 48201-2427
Phone: 3135771215

DR. PAUL EVAN KILGORE (NPI# 1205180049) 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) 1205180049
Entity Type Individual
Full Name DR. PAUL EVAN KILGORE
Credential M.D.
Practice Address 259 Mack Ave
Suite 2118
Detroit
MI 48201-2427
Practice Telephone 3135771215
Practice Fax Number 3135775369
Mailing Telephone 3135771215
Mailing Fax Number 3135775369
Enumeration Date 2012-11-01
Last Update Date 2012-11-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 53155048724 MI Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 4301058415 MI Allopathic & Osteopathic Physicians

Other Providers PAUL KILGORE

NPI Name Taxonomy Address Enumeration
1255954517 Paul Kilgore Social Worker 1110 Eldon Baker Dr, Flint, MI 48507-1923 2020-05-21

Office Location

Street Address 259 MACK AVE
SUITE 2118
City DETROIT
State MI
Zip Code 48201-2427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073715397 Kenyetta Nicole Nesbitt Pharmacist 259 Mack Ave, Eacphs Suite 2190, Detroit, MI 48201-2427 2007-05-31
1124642657 Brenna Claire Stesney Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2020-06-01
1679195176 Shane Michael Dignan Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2020-05-07
1871144766 Janelle Yousif Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2019-09-23
1336701556 Juela Kuci Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2019-07-08
1538726419 Craig Keinath Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2019-05-25
1194382077 Kirk Bennett Physician Assistant 259 Mack Ave, Detroit, MI 48201 2019-05-25
1972902443 Amber Lanae Smith Pharmacist 259 Mack Ave, Detroit, MI 48201-2427 2014-08-20
1659787182 Kristina Nada Dabish Physician Assistant 259 Mack Ave, 2590, Detroit, MI 48201-2427 2014-07-03
1962777110 Matthew Joseph Hynes Veterinarian 259 Mack Ave, Claws & Paws Clinic Wsu/dlar-wcccd/lvt, Detroit, MI 48201-2427 2012-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093329849 Hey Doc, P.C. Internal Medicine 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 2020-08-31
1134744998 Harish Harry Gidda Internal Medicine 22201 Moross Rd, Suite 50, Detroit, MI 48236 2020-06-08
1770107443 Arshan Ali Khan Internal Medicine 22101 Moross Rd, Suite 50, Detroit, MI 48236 2020-05-29
1871053751 Jacob Diskin Internal Medicine 4201 St. Antione, Uhc 9c, Detroit, MI 48201 2019-03-25
1770092272 Daniel Saul Mizrahi Internal Medicine 7633 E Jefferson Ave Ste 250, Detroit, MI 48214-3731 2017-09-27
1700304912 Premier Care Rehabilitation Internal Medicine 10641 W Mcnichols Rd, Detroit, MI 48221-2303 2017-09-07
1427400431 Aryan Shiari Internal Medicine 3990 John R St Rm Room3925, Detroit, MI 48201-2018 2016-07-01
1700236478 Osh-mi Physicians Group PC Internal Medicine 18600 Fenkell St, Detroit, MI 48223-2315 2016-06-14
1184070815 Khalil Ibrahim Bourji Internal Medicine 4201 Saint Antoine St Ste 4h, Detroit, MI 48201 2016-05-12
1124403779 Swetha Edla Internal Medicine 22101 Moross Road Pb Suite 50, Detroit, MI 48236 2015-07-24
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Competitor

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City DETROIT
Zip Code 48201

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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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