DR. KATHERINE WILSON DERUE (NPI# 1497902589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497902589 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE WILSON DERUE |
| Other Name | DR. KATHERINE ELIZABETH WILSON |
| Credential | MD |
| Practice Address |
5333 Mcauley Dr Ste 3111 Ypsilanti MI 48197-1014 |
| Mailing Address |
24 Frank Lloyd Wright Dr Po Box 0446 Lobby J Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347127688 |
| Practice Fax Number | 7347127056 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301096026 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080S0012X |
Pediatrics Specialization: Sleep Medicine |
4301096026 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
5333 MCAULEY DR STE 3111 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285378 | Thomas A Weimert | Otolaryngology | 5333 Mcauley Dr, Rm 2017, Ypsilanti, MI 48197-1096 | 2005-06-20 |
| 1780172809 | Meena Sahu | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Ypsilanti, MI 48197-1014 | 2018-04-24 |
| 1568996940 | Cydney Siggins | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-04-12 |
| 1205369725 | Kenneth John Buchanan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
| 1518491059 | Mahwish Hafeez | Internal Medicine | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
| 1124551791 | Emily Welker | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-10 |
| 1366975195 | Patrick D Suggs | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-08 |
| 1528591427 | Elizabeth Anne Henderson | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-06 |
| 1043742448 | Emily Eton | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-03 |
| 1740711126 | Kelsey Behan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 2080S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sleep Medicine |
| A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972050292 | Sudomir Sleep Solutions, L.L.C. | Pediatrics | 43184 Dequindre Rd., Suite 206, Sterling Heights, MI 48314 | 2016-09-02 |
| 1306335021 | Bellin Health Iron Mountain Inc | Pediatrics | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2018-05-08 |
| 1225306418 | Dickinson County Healthcare System | Pediatrics | 1100 S Carpenter Ave, Kingsford, MI 49802-5518 | 2011-12-02 |
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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.