MS. KIMBERLEY GRETCHEN BEHRENS (NPI# 1326120023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326120023 |
Entity Type | Individual |
Full Name | MS. KIMBERLEY GRETCHEN BEHRENS |
Other Name | KIMBERLEY GRETCHEN CRONE |
Credential | M.D. |
Practice Address |
6330 Orchard Lake Rd Suite 120 West Bloomfield MI 48322-2398 |
Practice Telephone | 2488553366 |
Practice Fax Number | 2488556213 |
Mailing Telephone | 2488553366 |
Mailing Fax Number | 2488556213 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2017-11-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
35095061 | OH | Allopathic & Osteopathic Physicians |
Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
4301091039 | MI | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2006001766 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1326120023 | 05 |
Street Address |
6330 ORCHARD LAKE RD SUITE 120 |
City | WEST BLOOMFIELD |
State | MI |
Zip Code | 48322-2398 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841281532 | Michael A Dorman | Dermatology | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-2398 | 2005-11-02 |
1043538549 | Jeffrey Tulin Silver Md PC | Internal Medicine | 6330 Orchard Lake Rd, Suite 110, West Bloomfield, MI 48322-2398 | 2010-05-07 |
1215126388 | Maria A Ammori | Physician Assistant | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-2398 | 2007-10-15 |
1982802245 | Aaron Stuart Cetner | Dermatology | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-2398 | 2007-07-10 |
1477667590 | Leonard M Cetner | Dermatology | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322 | 2006-08-18 |
1184674798 | Suzanne Merkle | Dermatology | 6330 Orchard Lake Rd, #120, West Bloomfield, MI 48322-2398 | 2006-05-12 |
1992754485 | Ronald D Kerwin Md PC | Dermatology | 6330 Orchard Lake Rd, #120, West Bloomfield, MI 48322-2398 | 2006-05-10 |
1265497622 | Ronald David Kerwin | Dermatology | 6330 Orchard Lake Rd, # 120, West Bloomfield, MI 48322-2398 | 2006-04-19 |
1336120203 | Jeffrey Tulin Silver | Allergy & Immunology | 6330 Orchard Lake Rd, Suite 110, West Bloomfield, MI 48322-2398 | 2005-11-08 |
1750372215 | Suchetha Kinhal | Allergy & Immunology | 6330 Orchard Lake Rd, Suite 110, West Bloomfield, MI 48322-2398 | 2005-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
Find all providers in zip 48322 |
Taxonomy Code | 207ZD0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Dermatopathology |
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457359945 | Jean E Thomas | Pathology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-07-08 |
1770804312 | David Phillip Arps | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2010-06-17 |
1861712994 | Joshua R Bradish | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2010-06-11 |
1033351044 | Rajiv Michael Patel | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2009-04-06 |
1720292493 | Michelle R Young | Pathology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-05-10 |
1992828560 | Limin Yu | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-04-09 |
1477601185 | Min W. Lee | Pathology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-08 |
1457419160 | Mary Beth Anderson | Pathology | 18756 Millar Rd, Clinton Township, MI 48036-2095 | 2006-12-05 |
1730260183 | Douglas R Fullen | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-18 |
1740397124 | Kent Pathology Laboratory Pllc | Pathology | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-08-23 |
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City | WEST BLOOMFIELD |
Zip Code | 48322 |
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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.