DR. KELLY ROSE MENGE (NPI# 1356546378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356546378 |
Entity Type | Individual |
Full Name | DR. KELLY ROSE MENGE |
Credential | D.O. |
Practice Address |
901 Lakeshore Dr. Ishpeming MI 49849 |
Mailing Address |
901 Lakeshore Dr Ishpeming MI 49849 |
Practice Telephone | 9064852665 |
Practice Fax Number | 9064852731 |
Mailing Telephone | 9064852665 |
Mailing Fax Number | 9064852731 |
Enumeration Date | 2007-06-19 |
Last Update Date | 2014-05-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 5101017173 | MI | Allopathic & Osteopathic Physicians |
Street Address |
901 LAKESHORE DR. |
City | ISHPEMING |
State | MI |
Zip Code | 49849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689658973 | Joel A Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 901 Lakeshore Dr., Ishpeming, MI 49849 | 2005-12-01 |
1740208701 | Shahar Madjar | Specialist | 901 Lakeshore Dr., Suite 210, Ishpeming, MI 49849 | 2006-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639707912 | Trevor Doren | Physician Assistant | 813 Braastads Road, Ishpeming, MI 49849 | 2020-03-31 |
1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
1316351224 | Great Lakes Recovery Centers | Clinic/Center | 97 S. 4th Street, Suite C, Ishpeming, MI 49849 | 2014-06-18 |
1689098857 | Karen Duquette | Psychologist | 540 E Division St, Ishpeming, MI 49849 | 2014-02-09 |
1063796456 | Brian E. Anderson, D.d.s., Pllc | Clinic/Center | 125 N. Pansy St, Ishpeming, MI 49849 | 2011-10-04 |
1538791975 | David Scott Swanson | Registered Nurse | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2020-02-04 |
1669831756 | Bell Auxiliary | Voluntary or Charitable | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2016-02-17 |
1982831749 | Brian Edward Anderson | Dentist | 125 N Pansy Street, Ishpeming, MI 49849 | 2009-06-18 |
1265594758 | Michael S Grossman | Specialist | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2006-12-14 |
1093726259 | Ronald Snyder | Internal Medicine | 901 Lakeshore Drive, Ishpeming, MI 49849 | 2006-08-11 |
Find all providers in zip 49849 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457585671 | Kimberly Ann Baker-dobos | Obstetrics & Gynecology | 901 Lakeshore Dr, Ishpeming, MI 49849-1367 | 2009-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851900096 | Youssef Derbala | Obstetrics & Gynecology | 15050 E Jefferson Ave Ste 102, Grosse Pointe Park, MI 48230-2050 | 2020-07-23 |
1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
1740808799 | Beyond Womens Care PC | Obstetrics & Gynecology | 455 S Livernois Rd Ste A12, Rochester Hills, MI 48307-2579 | 2020-07-07 |
1760009070 | Pamila Diwan, Md | Obstetrics & Gynecology | 30555 Southfield Rd Ste 180, Southfield, MI 48076-7700 | 2020-07-02 |
1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
1194341198 | Kelcy L Welch | Obstetrics & Gynecology | 30445 Northwestern Hwy Ste 140, Farmington Hills, MI 48334-3174 | 2020-06-25 |
1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
1780208272 | Whitney Nicole Buck | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Ste 401, Southfield, MI 48075-4818 | 2020-06-01 |
1245854652 | Rachel Shamoun | Obstetrics & Gynecology | 16001 W 9 Mile Rd Bldg Suite401, Southfield, MI 48075-4818 | 2020-06-01 |
1841811171 | Advanced Healthcare Associates, Pllc | Obstetrics & Gynecology | 25050 Outer Dr Ste 102, Lincoln Park, MI 48146-1293 | 2020-04-27 |
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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.