DR. KIM FORD KEZLARIAN (NPI# 1558440628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558440628 |
| Entity Type | Individual |
| Full Name | DR. KIM FORD KEZLARIAN |
| Credential | M.D. |
| Practice Address |
26300 Woodward Ave Royal Oak MI 48067-0917 |
| Practice Telephone | 2455462110 |
| Practice Fax Number | 2485468176 |
| Mailing Telephone | 2455462110 |
| Mailing Fax Number | 2485468176 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301041887 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104860996 | 05 | |
| MI | BCBS | 0F32365 | 01 |
| Street Address |
26300 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-0917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740719558 | Shoshana Gordon | Pediatrics | 26300 Woodward Ave, Royal Oak, MI 48067-0917 | 2017-06-06 |
| 1720440134 | Rachel Carolan | Family Medicine | 26300 Woodward Ave, Royal Oak, MI 48067-0917 | 2016-03-24 |
| 1861619728 | Marjorie Anne Alvir | Family Medicine | 26300 Woodward Ave, Royal Oak, MI 48067-0917 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609306273 | Samantha Rene Cowing | Family Medicine | 309 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2017-06-15 |
| 1457889370 | Alvin John Ramos Vargas | Family Medicine | 3601 W 13 Mile Rd Ofc, Royal Oak, MI 48073-6712 | 2017-05-23 |
| 1649614470 | Kristopher Jon-amor Patnugot | Family Medicine | 1223 S Washington Ave, Royal Oak, MI 48067-3221 | 2013-04-23 |
| 1275736936 | Victor Samir Faris | Family Medicine | 1010 N Campbell Rd, Suite #3, Royal Oak, MI 48067-1570 | 2007-06-08 |
| 1790767374 | Julie E Mariotti | Family Medicine | 2709 W Webster Rd, Royal Oak, MI 48073-3700 | 2005-11-18 |
| 1043200256 | Megan C Zawaideh | Family Medicine | 1041 S Main St, Royal Oak, MI 48067-3274 | 2005-10-27 |
| 1528057270 | Vincent J Granowicz | Family Medicine | 30701 Woodward Ave, Suite 314, Royal Oak, MI 48073-0987 | 2005-10-17 |
| 1457843104 | Center for Healing | Family Medicine | 720 E 11 Mile Rd, Royal Oak, MI 48067-1964 | 2018-05-30 |
| 1215446646 | Beaumont Medical Group-primary Care Services | Family Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-09-28 |
| 1427578293 | Anthony Pietro Brooks | Family Medicine | 309 E 11 Mile Rd, Royal Oak, MI 48067-2735 | 2017-06-22 |
| Find all providers in ROYAL OAK | ||||
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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.