DR. MICHEL BIDROS


Address: 165 London Mountain View Dr, London, KY 40741-6601
Phone: 6063307900

DR. MICHEL BIDROS (NPI# 1609036227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609036227
Entity Type Individual
Full Name DR. MICHEL BIDROS
Credential M.D.
Practice Address 165 London Mountain View Dr
London
KY 40741-6601
Mailing Address 520 Techwood Dr N Ste 100
Danville
KY 40422-8500
Practice Telephone 6063307900
Practice Fax Number 6063307905
Mailing Telephone 8599369844
Mailing Fax Number 8592360320
Enumeration Date 2008-06-17
Last Update Date 2019-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 046496 CT Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
51394 KY Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
0101256852 VA Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 046496 CT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program 046496 CT Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
KY KY STATE MEDICAL LICENSE 51394 01
KY 7100557670 05
VA VA STATE MEDICAL LICENSE 0101256852 01
CT CT STATE LICENSE 046496 01

Office Location

Street Address 165 LONDON MOUNTAIN VIEW DR
City LONDON
State KY
Zip Code 40741-6601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558767939 Tosha Thomas Registered Nurse 165 London Mountain View Dr, London, KY 40741-6601 2014-11-12
1740550615 Saint Joseph Health System, Inc. Nurse Practitioner 165 London Mountain View Dr, London, KY 40741-6601 2012-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346841244 Emily Anne Simmons Pharmacist 1851 West Hwy 192, London, KY 40741 2020-11-06
1871104364 Jarrod Lee Napier Optometrist 103 Chera Lyn Ln, London, KY 40741 2020-08-10
1295378792 Rebekah Virginia Elaine Cloud Nurse Practitioner 1649 Ky- 192 W, London, KY 40741 2019-10-28
1215416581 Mary Jean Nolan Nurse Practitioner 1649 W. Hwy 192, London, KY 40741 2018-08-08
1558849620 Pinnacle Treatment Centers Ky-1, LLC Substance Abuse Rehabilitation Facility 312 Carrera Drive, London, KY 40741 2018-08-01
1710463435 Pinnacle Treatment Centers Ky-i, LLC Substance Abuse Rehabilitation Facility 300 Carrera Drive, London, KY 40741 2018-07-16
1720591076 Hillary Clark Nurse Practitioner 192 London Shopping Ctr Ste 2, London, KY 40741 2017-11-08
1760901979 Ariel Siler Counselor 454 N. Mcwhorter St., Suite 1, London, KY 40741 2017-09-19
1598287161 Young Smiles,llc Clinic/Center 324 Holly Lane, London, KY 40741 2017-07-14
1952727505 Renew Recovery, LLC Substance Abuse Rehabilitation Facility 2645 N Laurel Rd Ste B, London, KY 40741 2014-03-06
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053380410 Muhammad A Niazi Internal Medicine 165 London Mountain View Drive, London, KY 40741 2006-03-16
1902801921 Visaharan Sivasubramaniam Internal Medicine 1380 Highway 192 E, London, KY 40741-3123 2005-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225576523 Rafiq U Rahman Md Psc Internal Medicine 101 Financial Pl Ste B103, Elizabethtown, KY 42701-8450 2017-02-07
1659823573 Covenant Oncology & Hematology LLC Internal Medicine 93 C. Michael Davenport Blvd, Suite 2, Frankfort, KY 40601-9702 2016-10-26
1184018285 James Mobley Internal Medicine 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 2015-03-26
1770837270 Chaitanya Iragavarapu Internal Medicine Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 2012-11-05
1285999284 Surabhi Pathak Internal Medicine 613 23rd St Ste 19, Ashland, KY 41101-2878 2012-07-06
1427316900 Ryan Woods Internal Medicine University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 2012-05-02
1730447814 Natalie W. Harper Internal Medicine 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5904 2012-04-26
1083938542 Metro Hematology Oncology, Pllc Internal Medicine 3620 Wynbrooke Cir, Louisville, KY 40241 2010-03-26
1477743938 Suzanne Jeannette Brown Internal Medicine 102 Physicians Blvd, Glasgow, KY 42141-1299 2007-07-30
1417082470 Jamie Bunch Jarboe Internal Medicine 1100 Brookhaven Rd Ste 103, Franklin, KY 42134-2746 2007-02-22
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Competitor

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City LONDON
Zip Code 40741

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Dataset Information

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.

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