KENTON J ZEHR (NPI# 1548248354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548248354 |
| Entity Type | Individual |
| Full Name | KENTON J ZEHR |
| Credential | M.D. |
| Practice Address |
311 Mack Ave Ste 64100 Detroit MI 48201-2466 |
| Mailing Address |
5605 Aylesboro Ave Pittsburgh PA 15217-1401 |
| Practice Telephone | 3138320650 |
| Mailing Telephone | 4125215329 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 4301117256 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 40529 | MN | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4301117256 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 661417500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5605 Aylesboro Ave, Pittsburgh, PA 152171401 | 4125215329 |
| Street Address |
311 MACK AVE STE 64100 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336695923 | Dianna Grace Ehlert | Registered Nurse | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2016-09-01 |
| 1043612567 | Justin Thomas Marzean | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2014-09-17 |
| 1073914214 | Joshua Hoover | Nurse Practitioner | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2014-09-08 |
| 1689091878 | Melanie Schwiesow | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2014-03-25 |
| 1104161686 | Edith Anne Chittenden | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-12-10 |
| 1396091328 | Dave B Cuvi | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-07-27 |
| 1306191853 | Zaher Hakim | Internal Medicine | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-07-20 |
| 1689828238 | M. Chadi Alraies | Internal Medicine | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2008-11-10 |
| 1437315660 | Joan Frances Benedetti | Nurse Practitioner | 311 Mack Ave Ste 64100, Detroit, MI 48201-6712 | 2008-08-07 |
| 1457458929 | Franco L Fazzalari | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2006-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114981917 | Sanjay Batra | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22201 Moross Road, Suite 356, Detroit, MI 48236 | 2006-04-17 |
| 1033189915 | Ralph Ernest Delius | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien Blvd, Detroit, MI 48201 | 2006-01-24 |
| 1164037735 | Mamdouh Dakhel A Alahmadi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-09-10 |
| 1841840113 | Thoracic Surgical Services, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4100 John R St, Detroit, MI 48201-2013 | 2019-09-18 |
| 1962638874 | John Nguyen Dentel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St Fl 4, Detroit, MI 48201-2119 | 2009-06-05 |
| 1306002266 | David I Sternberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4100 John R St, Detroit, MI 48201-2013 | 2008-07-31 |
| 1043436132 | Jeffrey A Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2799 W Grand Blvd, K-14, Rm 1435, Detroit, MI 48202-2608 | 2007-04-17 |
| 1154447522 | University Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2007-03-21 |
| 1235266545 | Shivaprakash Seshadri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-02-27 |
| 1932262565 | Norman A. Silverman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202-2608 | 2006-12-18 |
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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.