BRANDON SAM KAKOS (NPI# 1366677437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366677437 |
Entity Type | Individual |
Full Name | BRANDON SAM KAKOS |
Credential | M.D. |
Practice Address |
28300 Orchard Lake Rd Ste 200 Farmington Hills MI 48334-3704 |
Practice Telephone | (248) 539-8638 |
Practice Fax Number | 2485399045 |
Mailing Telephone | (248) 539-8638 |
Enumeration Date | 2009-05-19 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
4301109849 | MI | Allopathic & Osteopathic Physicians |
N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
35098143 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1366677437 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4440 Glen Este Withamsville Rd, Cincinnati, OH 452451318 | 5137537488 |
Street Address |
28300 ORCHARD LAKE RD STE 200 |
City | FARMINGTON HILLS |
State | MI |
Zip Code | 48334-3704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265463178 | Richard L. Needleman | Orthopaedic Surgery | 28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-3704 | 2006-07-06 |
1023582426 | Ashley Grace Barnes | Physician Assistant | 28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-3704 | 2019-01-18 |
1023536364 | Samuel Christopher Ellis-stockley | Physician Assistant | 28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-3704 | 2017-09-07 |
1457481186 | Heather D Sutherlin | Physician Assistant | 28300 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
Find all providers in zip 48334 |
Taxonomy Code | 207RS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sports Medicine |
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598145997 | Edward W. Sparrow Hospital Association | Internal Medicine | 2900 Hannah Blvd, Suite B102, East Lansing, MI 48823-5384 | 2015-06-02 |
1649668542 | Doctors Network PC | Internal Medicine | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2014-12-30 |
1740606441 | Jeffrey Alent | Internal Medicine | 1 William Carls Dr, Commerce Township, MI 48382-2201 | 2014-03-05 |
1467631804 | Seminole Shores Internal Medicine PC | Internal Medicine | 433 Seminole Rd, Suite 105, Muskegon, MI 49444-3743 | 2007-11-02 |
City | FARMINGTON HILLS |
Zip Code | 48334 |
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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.