PAUL KOCHERIL (NPI# 1548298375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548298375 |
| Entity Type | Individual |
| Full Name | PAUL KOCHERIL |
| Credential | MD |
| Practice Address |
302 Kensington Ave Flint MI 48503-2044 |
| Practice Telephone | 8107628490 |
| Mailing Telephone | 8107628490 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2017-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
PK066426 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1548298375 | 05 | |
| MI | BLUE CROSS | 320Z901020 | 01 |
| MI | 4258108 | 05 | |
| MI | BLUE CROSS | 320Z910000 | 01 |
| Street Address |
302 KENSINGTON AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782736 | James Ewell Graham Jr. | Obstetrics & Gynecology | 302 Kensington Ave, Genesys Hurley Cancer Institute, Flint, MI 48503-2044 | 2005-10-05 |
| 1831797638 | Kristin Dunaway | Nurse Practitioner | 302 Kensington Ave, Flint, MI 48503-2044 | 2020-10-14 |
| 1093285496 | Christopher M Jackson | Nurse Practitioner | 302 Kensington Ave, Flint, MI 48503-2044 | 2018-11-28 |
| 1992246904 | Larsen Medical Plc | Surgery | 302 Kensington Ave, Flint, MI 48503-2044 | 2017-03-10 |
| 1467801985 | Collaborative Radiation Oncology Pllc | Radiology | 302 Kensington Ave, Flint, MI 48503-2044 | 2016-06-06 |
| 1942612577 | Amy Jiries Calati | Internal Medicine | 302 Kensington Ave, Flint, MI 48503-2044 | 2014-06-02 |
| 1104161363 | Dong Whan Oh Md Pllc | Radiology | 302 Kensington Ave, Flint, MI 48503-2044 | 2012-11-29 |
| 1124362272 | Haesook S Kim Md Pllc | Radiology | 302 Kensington Ave, Flint, MI 48503-2044 | 2012-11-15 |
| 1962795013 | Sirisha Manyam | Internal Medicine | 302 Kensington Ave, Flint, MI 48503-2044 | 2011-05-24 |
| 1588971261 | Anne Marie Cox | Dietitian, Registered | 302 Kensington Ave, Flint, MI 48503-2044 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
| 1174523575 | Jack Lee Nettleton | Radiology | 4100 Beecher Rd, Suite A, Flint, MI 48532-3661 | 2005-07-28 |
| 1467801985 | Collaborative Radiation Oncology Pllc | Radiology | 302 Kensington Ave, Flint, MI 48503-2044 | 2016-06-06 |
| 1104161363 | Dong Whan Oh Md Pllc | Radiology | 302 Kensington Ave, Flint, MI 48503-2044 | 2012-11-29 |
| 1124362272 | Haesook S Kim Md Pllc | Radiology | 302 Kensington Ave, Flint, MI 48503-2044 | 2012-11-15 |
| 1790952059 | Kiran Devisetty | Radiology | 4100 Beecher Rd, Suite A, Flint, MI 48532-3661 | 2008-05-14 |
| 1093839060 | Hesham E Gayar, M.d., P.C. | Radiology | 4100 Beecher Rd, Suite A, Flint, MI 48532-3605 | 2007-03-16 |
| 1497864680 | Flint Radiation Therapy | Radiology | 302 Kensington Ave, Flint, MI 48503-2044 | 2006-08-30 |
| 1316972086 | Christian Hyde | Radiology | 4100 Beecher Rd, Flint, MI 48532-3661 | 2006-07-11 |
| 1245286731 | Genesys Hurley Cancer Institute | Radiology | 302 Kensington Ave, Flint, MI 48503 | 2006-05-26 |
| Find all providers in FLINT | ||||
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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.