MARTIN KORNBLUM


Address: 11885 E 12 Mile Rd, 200b, Warren, MI 48093-3474
Phone: 5865827070

MARTIN KORNBLUM (NPI# 1679562722) 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) 1679562722
Entity Type Individual
Full Name MARTIN KORNBLUM
Practice Address 11885 E 12 Mile Rd
200b
Warren
MI 48093-3474
Mailing Address 43800 Garfield Rd
Clinton Twp
MI 48038-1136
Practice Telephone 5865827070
Practice Fax Number 5865827066
Mailing Telephone 8008480202
Mailing Fax Number 5862266949
Enumeration Date 2005-10-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
4301063387 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4209319 05

Office Location

Street Address 11885 E 12 MILE RD
200B
City WARREN
State MI
Zip Code 48093-3474

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093711459 Comprehensive Counseling Center PC Clinic/Center 11885 E 12 Mile Rd, Ste. 201a, Warren, MI 48093-3474 2005-06-21
1801417373 Shayla Patton Student in an Organized Health Care Education/Training Program 11885 E 12 Mile Rd, Warren, MI 48093-3474 2020-05-06
1184244352 Jessica Frazelle Mcdaniel Student in an Organized Health Care Education/Training Program 11885 E 12 Mile Rd, Warren, MI 48093-3474 2020-04-17
1710540950 Jessica Marie Fisher Nurse Practitioner 11885 E 12 Mile Rd, Warren, MI 48093-3474 2019-04-14
1285094706 Kathleen Anne Quinn Obstetrics & Gynecology 11885 E 12 Mile Rd, Suite 202a, Warren, MI 48093-3474 2016-02-25
1770822306 Sudhir Lingnurkar Md Plc Psychiatry & Neurology 11885 E 12 Mile Rd, Ste 204a, Warren, MI 48093-3474 2013-02-01
1871856310 Joshua Aaron Rosenbloom Internal Medicine 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 2012-06-20
1710249826 Shirley Orock Ayuk-takem Internal Medicine 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 2012-06-14
1053672048 Hamid Abbas Afsari Internal Medicine 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 2012-06-06
1497015002 Jake Graehm Halvorsen Internal Medicine 11885 E 12 Mile Rd, Ste. 300a, Warren, MI 48093-3474 2012-05-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615986 Toleka Regina Taylor Nurse Anesthetist, Certified Registered St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 2020-10-05
1679112676 Open Heart Communities Case Management 31310 Shaw Dr, Warren, MI 48093 2019-12-23
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1649775826 Ridge Downs Behavioral Analyst 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 2018-03-28
1144722737 Jessica Farraj Occupational Therapist 11800 E. 12 Mile Road, Warren, MI 48093 2018-02-28
1265930168 Leah Hanrahan Registered Nurse 11700 Amberle Dr., Warren, MI 48093 2018-01-25
1598271553 Pamela Marie Confer Occupational Therapist 11012 13 Mile Rd, Suite 200, Warren, MI 48093 2017-12-28
1831604347 Kate Jeanne Szczepanski Behavior Technician 31200 Chicago Rd S, Warren, MI 48093 2017-12-06
Find all providers in zip 48093

Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861597247 Stanley E. Grzyb Orthopaedic Surgery 1840 Sugarbush Access Road, Warren, VT 05674-9747 2006-09-13
1033143052 Jeffrey K. Wingate, M.d. Orthopaedic Surgery 13355 East Ten Mile Road, Medical Office Building East Ste. 115, Warren, MI 48089 2006-07-10
1013944586 Kevin A Mccracken Orthopaedic Surgery 45 Mountain Blvd, Bldg D Suite 2, Warren, NJ 07059-5678 2006-06-28
1235699646 New Vision Rehab Center Inc Orthopaedic Surgery 13087 E 11 Mile Rd, Warren, MI 48088-4795 2019-03-21
1447529839 Orthopaedic & Spine Center of New Jersey Orthopaedic Surgery 45 Mountain Blvd, Bldg D, Suite 2, Warren, NJ 07059-2635 2011-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144650391 Accuspine Pllc Orthopaedic Surgery 612 Park St, Birmingham, MI 48009-3424 2013-11-24
1669809612 Michigan Orthopaedic Spine Surgeons PC Orthopaedic Surgery 29624 Woodward Ave, Royal Oak, MI 48073-0905 2013-10-07
1376808105 Lucent Spine, Pllc Orthopaedic Surgery 2300 Haggerty Rd Ste 2100, West Bloomfield, MI 48323-2191 2012-07-09
1689605925 Philip Jeffery Mayer Orthopaedic Surgery 9389 N Haggerty Rd, Plymouth, MI 48170-4622 2006-07-05
1235117524 Jeffrey K Wingate Orthopaedic Surgery 555 Barclay Cir Ste 140, Rochester Hills, MI 48307-4587 2006-01-06
1801870266 Edgar Neil Pasia Orthopaedic Surgery 940 River Centre Dr., Port Huron, MI 48060 2005-11-30
1194713669 Kenneth J Easton Orthopaedic Surgery 1111 Leffingwell Ne, Ste 100, Grand Rapids, MI 49525 2005-10-10
1669465761 John Ernest Lamacchia Orthopaedic Surgery 1135 W University Dr Ste 450, Rochester, MI 48307-1871 2005-08-24
1104458181 Msu Health Care Inc. Orthopaedic Surgery 4660 S Hagadorn Rd Ste 500, East Lansing, MI 48823-6804 2020-02-07
1124589460 Smi Care of Mi, LLC Orthopaedic Surgery 755 W Big Beaver Rd Ste 2020, Troy, MI 48084-4925 2019-03-28
Find all providers with the same taxonomy

Competitor

Search similar providers

City WARREN
Zip Code 48093

Improve Information

Please comment or provide details below to improve the information on MARTIN KORNBLUM.

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.

Trending Searches