MARC P BOCKNEK (NPI# 1538149679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538149679 |
| Entity Type | Individual |
| Full Name | MARC P BOCKNEK |
| Credential | D.O. |
| Practice Address |
2632 S Milford Rd Highland MI 48357-4938 |
| Practice Telephone | 2486845510 |
| Practice Fax Number | 2486845220 |
| Mailing Telephone | 2486845510 |
| Mailing Fax Number | 2486845220 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MB006783 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1518141 | 05 |
| Street Address |
2632 S MILFORD RD |
| City | HIGHLAND |
| State | MI |
| Zip Code | 48357-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370674 | Roberta Ann Bobal-savage | Pediatrics | 2632 S Milford Rd, Highland, MI 48357-4938 | 2005-07-20 |
| 1629616131 | Lindsey Lukkari | Physician Assistant | 2632 S Milford Rd, Highland, MI 48357-4938 | 2019-12-16 |
| 1730393034 | Huron Valley Pediatrics, P.C. | Pediatrics | 2632 S Milford Rd, Highland, MI 48357-4938 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837328 | Insightful, P.C. | Psychologist | 141 N Milford Rd, Suite 103, Highland, MI 48357 | 2018-10-19 |
| 1932569522 | Debra Marie Minton | Social Worker | 1025 E. Forest, Detroit, MI 48357 | 2016-02-25 |
| 1235594565 | Marie Asako Catenacci | Social Worker | 1050 South Milford Road, Suite 205, Highland, MI 48357 | 2015-12-31 |
| 1063802114 | Kids In Motion | Respite Care | 2636 S. Milford Road, Highland, MI 48357 | 2015-01-28 |
| 1295084416 | Fran Roth | Physical Therapist | 2636 S. Milford Rd., Highland, MI 48357 | 2012-09-04 |
| 1508033549 | Partners In Life | Home Health | 576 Baker Street, Highland, MI 48357 | 2008-05-09 |
| 1538290762 | Bruce Wihongi | Physical Therapist | 2330 S Milford Rd Suite 108, Highland, MI 48357 | 2007-03-08 |
| 1629117353 | Painless Dentistry Plc | Dentist | 2287 S Milford Rd, Highland, MI 48357 | 2007-02-06 |
| 1508955675 | Irving D Kernis | Pediatrics | 2632 S. Milford Rd, Huron Valley Pediatrics, P.C., Highland, MI 48357 | 2006-10-12 |
| 1093130239 | Michael Roberts | Physical Therapist | 2330 S Milford Rd Suite 108, Highland, MI 48357 | 2014-02-25 |
| Find all providers in zip 48357 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508955675 | Irving D Kernis | Pediatrics | 2632 S. Milford Rd, Huron Valley Pediatrics, P.C., Highland, MI 48357 | 2006-10-12 |
| 1659370674 | Roberta Ann Bobal-savage | Pediatrics | 2632 S Milford Rd, Highland, MI 48357-4938 | 2005-07-20 |
| 1730393034 | Huron Valley Pediatrics, P.C. | Pediatrics | 2632 S Milford Rd, Highland, MI 48357-4938 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
| Find all providers with the same taxonomy | ||||
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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.