CHANKEE PARK (NPI# 1518995869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518995869 |
| Entity Type | Individual |
| Full Name | CHANKEE PARK |
| Credential | M.D. |
| Practice Address |
16570 19 Mile Rd Clinton Township MI 48038-1106 |
| Practice Telephone | 5862637660 |
| Practice Fax Number | 5862864727 |
| Mailing Telephone | 5862637660 |
| Mailing Fax Number | 5862864727 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 037049 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4590264 | 05 |
| Street Address |
16570 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851338156 | Ronald L Meisel | Orthopaedic Surgery | 16570 19 Mile Rd, Clinton Township, MI 48038-1106 | 2006-06-02 |
| 1003044462 | Robert F Carson | Orthopaedic Surgery | 16570 19 Mile Rd, Clinton Township, MI 48038-1106 | 2009-06-24 |
| 1316184278 | Orthopedic Surgery of Macomb Plc | Orthopaedic Surgery | 16570 19 Mile Rd, Clinton Township, MI 48038-1106 | 2009-01-14 |
| 1851509293 | Monika Kishore Ochani | Family Medicine | 16570 19 Mile Rd, Clinton Township, MI 48038-1106 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| 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 |
|---|---|---|---|---|
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1861923047 | Sara Jordan Smith | Obstetrics & Gynecology | 15585 Nineteen Mile Road, Clinton Township, MI 48038 | 2017-03-21 |
| 1437460714 | Andrew Philip Jovanovski | Obstetrics & Gynecology | 39200 Garfield Rd Ste B, Clinton Township, MI 48038-4095 | 2010-07-01 |
| 1093743106 | Ronald Bruce Levin | Obstetrics & Gynecology | 16151 19 Mile Road, Suite 300, Clinton Township, MI 48038 | 2006-06-29 |
| 1649220708 | Sarah M. Jones | Obstetrics & Gynecology | 39373 Garfield Rd., Clinton Township, MI 48038-2794 | 2006-05-11 |
| 1629069364 | Kevin G. Fahey | Obstetrics & Gynecology | 43201 Commons Dr, Clinton Township, MI 48038-1110 | 2005-11-02 |
| 1033746458 | Alexandria Marie Mozzicato | Obstetrics & Gynecology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-25 |
| 1740817279 | Hennah Nimesh Patel | Obstetrics & Gynecology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2020-03-25 |
| 1952842486 | Kayla Busuito | Obstetrics & Gynecology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2017-03-16 |
| 1992166656 | Nicole Renee Faulkner | Obstetrics & Gynecology | 15855 Nineteen Mile Rd, Henry Ford Macomb Hospitals, Clinton Township, MI 48038 | 2016-03-09 |
| Find all providers in CLINTON TOWNSHIP | ||||
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
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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.