KIM M ALMODOVAR M.D.PLC (NPI# 1548399652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548399652 |
Entity Type | Organization |
Organization Name | KIM M ALMODOVAR M.D.PLC |
Practice Address |
1460 Walton Blvd Suite 209 Rochester Hills MI 48309-1768 |
Practice Telephone | 2486564225 |
Practice Fax Number | 2486564250 |
Mailing Telephone | 2486564225 |
Mailing Fax Number | 2486564250 |
Enumeration Date | 2007-03-05 |
Last Update Date | 2016-10-28 |
Authorized Official Name | DR. KIM M ALMODOVAR (OWNER) |
Authorized Official Telephone | 2486564225 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
053408 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4177912 | 05 | |
MI | MEDICARE PTAN | 0M96440 | 01 |
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER | 0M96440 | 01 |
Street Address |
1460 WALTON BLVD SUITE 209 |
City | ROCHESTER HILLS |
State | MI |
Zip Code | 48309-1768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073518866 | Michael Stewart Salter | Podiatrist | 1460 Walton Blvd, Ste 60, Rochester Hills, MI 48309-1768 | 2005-06-17 |
1336794908 | Johnson and Varsanik, Pllc | Clinic/Center | 1460 Walton Blvd, Suite 205, Rochester Hills, MI 48309-4843 | 2019-08-09 |
1659829794 | Kelsey Marie Haglund | Physician Assistant | 1460 Walton Blvd, Suite 200, Rochester Hills, MI 48309-1768 | 2016-09-19 |
1770947566 | Lighthouse Solutions, LLC | Marriage & Family Therapist | 1460 Walton Blvd, Suite 224, Rochester Hills, MI 48309-1768 | 2016-04-08 |
1467831503 | Agape Family Counseling, Pllc | Community/Behavioral Health | 1460 Walton Blvd, Suite 218, Rochester Hills, MI 48309-1768 | 2015-05-21 |
1235532623 | Bennett H. Lee | Physician Assistant | 1460 Walton Blvd, Rochester Hills, MI 48309-1768 | 2014-09-30 |
1003240755 | Danielle R Zipay | Counselor | 1460 Walton Blvd, Suite 218, Rochester Hills, MI 48309-1768 | 2013-08-29 |
1811269376 | Linda Marie Oxford | Counselor | 1460 Walton Blvd, Suite 216, Rochester Hills, MI 48309-1768 | 2012-01-31 |
1851672166 | Juan Rhoades | Nurse Practitioner | 1460 Walton Blvd, Ste 200, Rochester Hills, MI 48309-1768 | 2011-08-31 |
1528352978 | Pharmacare Pharmacy LLC | Pharmacy | 1460 Walton Blvd, Suite # 90, Rochester Hills, MI 48309-1768 | 2011-06-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
Find all providers in zip 48309 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710290986 | Gi and Liver Consultants PC | Internal Medicine | 2024 Somerville, Rochester Hills, MI 48307-4291 | 2010-07-16 |
1407960453 | Samir S Al-hadidi | Internal Medicine | 1349 S Rochester Rd Ste 210, Rochester Hills, MI 48307-3152 | 2006-08-18 |
1508317850 | Metropolitan Digestive Disease | Internal Medicine | 75 Barclay Cir, Suite 205, Rochester Hills, MI 48307-5820 | 2016-10-21 |
1346667110 | Rochester Digestive Disease Group PC | Internal Medicine | 75 Barclay Circle, Ste 205, Rochester Hills, MI 48307-0020 | 2014-03-18 |
1720249782 | Samir Al-hadidi Md PC | Internal Medicine | 1349 S Rochester Rd, Suite 210, Rochester Hills, MI 48307-5821 | 2008-06-23 |
1316040504 | Michael Kam | Internal Medicine | 1349 S Rochester Rd, Suite 210, Rochester Hills, MI 48307 | 2006-09-06 |
1780613919 | Ghiath Tayeb Md PC | Internal Medicine | 1555 South Blvd E, Suite 320, Rochester Hills, MI 48307-5663 | 2006-07-01 |
1134180318 | Troy Gastroenterology PC | Internal Medicine | 1701 South Blvd E, 300, Rochester Hills, MI 48307-6122 | 2006-03-29 |
1447236401 | Ghiath Tayeb | Internal Medicine | 1555 South Blvd E, Ste 320, Rochester Hills, MI 48307-5605 | 2005-12-21 |
1568452928 | Kambiz Bral | Internal Medicine | 1349 S Rochester Rd, Suite 210, Rochester Hills, MI 48307 | 2005-10-26 |
Find all providers in ROCHESTER HILLS |
City | ROCHESTER HILLS |
Zip Code | 48309 |
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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.