GARY R KING (NPI# 1649372384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649372384 |
| Entity Type | Individual |
| Full Name | GARY R KING |
| Credential | MD |
| Practice Address |
6379 Silver Lake Rd Linden MI 48451-8706 |
| Practice Telephone | 8107357847 |
| Practice Fax Number | 8107357840 |
| Mailing Telephone | 8107357847 |
| Mailing Fax Number | 8107357159 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2011-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301045957 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3235619 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790907715 | Gary George King | Chiropractor | 7429 Conroy Windermere Road, Orlando, FL 32835 | 2007-05-02 |
| 1336229715 | Gary E King | Optometrist | 854 Ridgewood Dr., Berea, KY 40403-9814 | 2006-10-17 |
| 1659720704 | Gary King | Pediatrics | 929 N Saint Francis Ave, Wichita, KS 67214 | 2016-06-09 |
| 1346405016 | Gary R King | Counselor | 4025 Rawlins St, Cheyenne, WY 82001-1900 | 2008-07-22 |
| 1285739813 | Gary G King | Family Medicine | 600 Putnam Pike, Suite 1, Greenville, RI 02828 | 2006-09-14 |
| 1700837267 | Gary Michael King | Anesthesiology | 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 | 2006-05-12 |
| Street Address |
6379 SILVER LAKE RD |
| City | LINDEN |
| State | MI |
| Zip Code | 48451-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831158898 | Heather A. Kirkpatrick | Psychologist | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2006-03-20 |
| 1164950341 | Dominic James Maffetone | Family Medicine | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2017-06-01 |
| 1902331598 | Ryan Petty | Nurse Practitioner | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2017-04-21 |
| 1477692671 | Beth Ammerman | Nurse Practitioner | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2007-02-05 |
| 1508968264 | Mona Perry | Family Medicine | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2006-09-02 |
| 1881796605 | William Edgar | Family Medicine | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2006-09-02 |
| 1881654457 | Mark E Vogel | Psychologist | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439280 | On Point Services Inc | Home Health | 119 S Bridge St, Linden, MI 48451 | 2015-06-17 |
| 1811324619 | Great Lakes Wellness Services | Clinic/Center | 1 Emerald Pointe, Linden, MI 48451 | 2013-10-11 |
| 1457411548 | Jeremy Marshall Grove | Dentist | 501 S. Bridge St., Linden, MI 48451 | 2006-12-11 |
| 1447480777 | Deanna M Frick | Physical Therapist | 319 S Bridge St, Linden, MI 48451 | 2009-07-21 |
| 1861516239 | Robert Dean Douglas | Optometrist | 12412 Stafford St, Ravenna, MI 48451-0307 | 2007-03-19 |
| 1649221136 | Paul Daniel Mcewen | Dentist | 510 S Bridge St., Linden, MI 48451-0717 | 2006-05-12 |
| 1790127553 | Linda C Welch | Physical Therapy Assistant | 12062 Sharp Rd, Linden, MI 48451-8402 | 2013-07-22 |
| 1952934408 | Grace Madeline Trecha | Student in an Organized Health Care Education/Training Program | 4457 Wood Duck Ct, Linden, MI 48451-8410 | 2020-02-12 |
| 1760780225 | Kelly Kish-landaal | Speech-Language Pathologist | 4464 Wood Duck Ct, Linden, MI 48451-8410 | 2011-03-08 |
| 1851742431 | Sandra O'dell | Technician, Other | 13291 Harborview Dr, Linden, MI 48451-8414 | 2016-06-25 |
| Find all providers in zip 48451 | ||||
| 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 |
|---|---|---|---|---|
| 1316331804 | Ajfar Sherif | Family Medicine | 415 W Saint Georges Ave, Linden, NJ 07036-5641 | 2015-03-24 |
| 1871777078 | Stephen Josephe Robidoux | Family Medicine | 209 West Cahaba Ave., Linden, AL 36748-0848 | 2007-12-24 |
| 1437254463 | Debra Gail Reich-sobel | Family Medicine | 809 N Wood Ave, Linden, NJ 07036-4037 | 2006-09-14 |
| 1679685895 | Stephen J Robidoux Md PC | Family Medicine | 209 W Cahaba Ave, Linden, AL 36748-0848 | 2006-09-01 |
| 1467407759 | Kevin E Lukenda | Family Medicine | 850 N Wood Ave, Linden, NJ 07036 | 2006-05-24 |
| 1780649509 | Good Shepherd Medical Center - Linden Inc | Family Medicine | 404 N Kaufman St, Linden, TX 75563-5234 | 2006-04-18 |
| 1295738599 | Jan Luke Barnes | Family Medicine | 328 W Saint Georges Ave, Linden, NJ 07036-5638 | 2005-05-31 |
| 1164950341 | Dominic James Maffetone | Family Medicine | 6379 Silver Lake Rd, Linden, MI 48451-8706 | 2017-06-01 |
| 1871765826 | Manik Singh | Family Medicine | 328 W Saint Georges Ave, Linden, NJ 07036-5638 | 2008-03-31 |
| 1497874838 | Tri County Physician Homecare | Family Medicine | 850 N Wood Ave, Linden, NJ 07036-4038 | 2007-03-28 |
| Find all providers in LINDEN | ||||
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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.