JEREMY KONHEIM (NPI# 1548604572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548604572 |
| Entity Type | Individual |
| Full Name | JEREMY KONHEIM |
| Practice Address |
5333 Mcauley Dr Rm 3001 Ypsilanti MI 48197 |
| Mailing Address |
24 Frank Lloyd Wright Dr Lbby J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7347128100 |
| Practice Fax Number | 7347128111 |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4301115003 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5333 MCAULEY DR RM 3001 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841413614 | Daniel Thacker Flewelling | Urology | 5333 Mcauley Dr Rm 3001, Ypsilanti, MI 48197-1097 | 2007-04-10 |
| 1811280282 | Alice Marie Semerjian | Urology | 5333 Mcauley Dr Rm 3001, Ypsilanti, MI 48197 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972725158 | Kashif Siddiqi | Urology | 4870 Clark Rd, Suite 102, Ypsilanti, MI 48197 | 2007-05-03 |
| 1841413614 | Daniel Thacker Flewelling | Urology | 5333 Mcauley Dr Rm 3001, Ypsilanti, MI 48197-1097 | 2007-04-10 |
| 1932440310 | Iha Health Services Corporation | Urology | 5333 Mcauley Dr, Suite 3001, Ypsilanti, MI 48197-1014 | 2013-03-08 |
| 1811280282 | Alice Marie Semerjian | Urology | 5333 Mcauley Dr Rm 3001, Ypsilanti, MI 48197 | 2011-05-18 |
| 1740500594 | Sjmhs Specialty Physicians | Urology | 5333 Mcauley Dr, Suite 3001, Ypsilanti, MI 48197-1014 | 2010-06-03 |
| 1164657755 | Joshua Alan Leese | Urology | 5333 Mcauley Dr, Ste 3001, Ypsilanti, MI 48197-1014 | 2009-05-26 |
| 1225277445 | Joshua Ryan Kaplan | Urology | 5333 Mcauley Dr, Suite 3001, Ypsilanti, MI 48197-1014 | 2009-02-11 |
| 1841457447 | S. Elena Gimenez | Urology | 5333 Mcauley Dr, Ste 3001, Ypsilanti, MI 48197-1014 | 2008-05-21 |
| 1750395075 | Chelsea Professional Services | Urology | 5333 Mcauley Dr, R-6003, Ypsilanti, MI 48197-1014 | 2006-07-29 |
| 1972535870 | Robert H Moyad | Urology | 5333 Mcauley Dr, Ste 6110, Ypsilanti, MI 48197-1014 | 2006-07-07 |
| Find all providers in YPSILANTI | ||||
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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.