BENEDICT I KUSLIKIS (NPI# 1619099389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619099389 |
| Entity Type | Individual |
| Full Name | BENEDICT I KUSLIKIS |
| Credential | PHD |
| Practice Address |
1840 Wealthy St Se Grand Rapids MI 49506-2921 |
| Mailing Address |
100 Michigan St Ne Grand Rapids MI 49503-2560 |
| Practice Telephone | 6167747857 |
| Practice Fax Number | 6167745487 |
| Mailing Telephone | 6166439143 |
| Mailing Fax Number | 6167747699 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1840 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366416463 | Zamir Gani Podgorica | Internal Medicine | 1840 Wealthy St Se, Mc 426, Grand Rapids, MI 49506-2921 | 2006-02-15 |
| 1275142564 | William Donald Gower York | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-07-23 |
| 1558992172 | Jennifer Lynn Hauck | Dietitian, Registered | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-02-02 |
| 1144873845 | Lisa Joy Mccann-spry | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-22 |
| 1942862107 | Rose Lauren Clousing | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-08 |
| 1144781675 | Cheryl Sue Houseman | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-03-27 |
| 1336646835 | Christopher John Hopkins | Occupational Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-04-11 |
| 1184128910 | Cory Farrell | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-19 |
| 1508369356 | Jodie M Dixon | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-16 |
| 1609379957 | Andrea Lueck | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609909043 | Daniel H Farkas | Pathology | 301 Michigan St Ne Ste 580, Grand Rapids, MI 49503-3314 | 2007-03-14 |
| 1518090950 | Michael J Warzynski | Pathology | 1345 Monroe Ave Nw, Suite 121, Grand Rapids, MI 49505 | 2007-03-14 |
| 1295866721 | Daniel R Sundin | Pathology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2007-03-08 |
| 1326178104 | James V Higgins | Pathology | 1345 Monroe Ave Nw, Grand Rapids, MI 49505-4671 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001923 | Shelia Parker | Pathology | 304 Briarwood St Apt 217, Clare, MI 48617-1060 | 2016-09-13 |
| 1770970253 | Ashli Upchurch | Pathology | 5783 Devonshire Rd, Detroit, MI 48224-3236 | 2015-04-22 |
| 1497175087 | Seetharamaiah Chittiprol | Pathology | One Hurley Plaza, Hurley Medical Center, Flint, MI 48503 | 2014-04-22 |
| 1881857688 | Michael Durrell Davis | Pathology | 1151 Taylor Street, Herman Kiefer Health Complex 150-c, Detroit, MI 48202-1732 | 2008-07-02 |
| 1124280177 | Aloysius Patrick Hanson | Pathology | 1151 Taylor Street, Herman Kiefer Health Complex 150-c, Detroit, MI 48202-1732 | 2008-07-01 |
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on BENEDICT I KUSLIKIS.
| 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.