DR. KYLE ANDREW CARR (NPI# 1376567131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376567131 |
| Entity Type | Individual |
| Full Name | DR. KYLE ANDREW CARR |
| Credential | MD |
| Practice Address |
1105 6th St Traverse City MI 49684-2345 |
| Mailing Address |
Po Box 209 Lima OH 45802-0209 |
| Practice Telephone | 2319350499 |
| Mailing Telephone | 8669420836 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301054783 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 220020877 | 01 |
| MI | 3268404 | 05 |
| Street Address |
1105 6TH ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831617 | James D Sitek | Internal Medicine | 1105 6th St, Traverse City, MI 49684-2349 | 2005-06-14 |
| 1902418437 | Allison Cook | Pharmacist | 1105 6th St, Traverse City, MI 49684-2345 | 2020-08-17 |
| 1326689332 | Joseph Zerka | Pharmacist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-10-01 |
| 1891344545 | Noelle Warren | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-05 |
| 1235788134 | Andrea Kober | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-04 |
| 1932757986 | Lauren Smith | Occupational Therapist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-09-03 |
| 1114572880 | Lynne Severt | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-08-08 |
| 1104487214 | David Friedlander | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-28 |
| 1447811161 | Tracey Lynn Gray | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2345 | 2019-06-24 |
| 1164083895 | Jami Lynn Cooke | Speech-Language Pathologist | 1105 6th St, Traverse City, MI 49684-2386 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871935528 | Kristle Haberichter | Pathology | 1105 6th St, Traverse City, MI 49684 | 2013-07-23 |
| 1346516101 | Lindsey Serkes | Pathology | 1105 Sixth St., Traverse City, MI 49684-2345 | 2012-03-27 |
| 1649380387 | Amy Warren Ferguson | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-08-30 |
| 1356451090 | John Charles Keep | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-08-30 |
| 1205850088 | Laura Joan Gottfried | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-07-26 |
| 1114941903 | Philip Lee Perkins | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-07-26 |
| 1609890318 | William Allan Springstead | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-07-26 |
| 1891719662 | Elizabeth Ann Delbuono | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-07-26 |
| 1780608570 | Yvonne Renee Hunter | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-07-26 |
| 1306868427 | Grand Traverse Pathology, Pllc | Pathology | 1105 6th St, Traverse City, MI 49684-2345 | 2006-07-25 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.