TROY LEBIECKI (NPI# 1407263916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407263916 |
Entity Type | Individual |
Full Name | TROY LEBIECKI |
Practice Address |
6126 Crestwood Ave Kalamazoo MI 49048-9444 |
Practice Telephone | 2695014147 |
Mailing Telephone | 2695014147 |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 1240957 | TX | Other Service Providers |
N | 174400000X | Specialist | 60573 | OR | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OREGON PHYSICAL THERAPY LICENSE | 60573 | 01 |
Street Address |
6126 CRESTWOOD AVE |
City | KALAMAZOO |
State | MI |
Zip Code | 49048-9444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
Find all providers in zip 49048 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
1003213893 | Body Center Kalamazoo | Specialist | 2042 W Main St, Kalamazoo, MI 49006-3041 | 2014-11-23 |
1629343884 | Shannon Leigh Oehmke | Specialist | 8145 Waterwood Dr, Kalamazoo, MI 49048-9260 | 2012-03-20 |
1962661470 | Amanda R Edgar | Specialist | 910 Pinehurst Blvd, Kalamazoo, MI 49006-2111 | 2008-06-09 |
1538204169 | Oncology & Hematology PC | Specialist | 5010 Gull Rd Ste A, Kalamazoo, MI 49048-1093 | 2007-02-21 |
1609929587 | Jennifer Jean Chowaniec Gormley | Specialist | 5385 Swallow Ave, Kalamazoo, MI 49009-4501 | 2007-01-22 |
1245248756 | Jennifer Jones Hollings | Specialist | 1535 Gull Rd Ste 250, Kalamazoo, MI 49048-1661 | 2006-08-03 |
1841216355 | Premier Medical Care PC | Specialist | 1722 Gull Rd, Suite 1b, Kalamazoo, MI 49048-1644 | 2006-07-15 |
1730137720 | Alan Colestock | Specialist | 7000 Portage Rd, Kalamazoo, MI 49001-0102 | 2006-05-04 |
1780643114 | Monica Rae Lininger | Specialist | 1903 West Michigan Avenue, Sports Medicine Clinic, Kalamazoo, MI 49008-5445 | 2006-03-23 |
Find all providers in KALAMAZOO |
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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.