DR. KIRSTAN KATHLEEN MELDRUM (NPI# 1720073497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720073497 |
Entity Type | Individual |
Full Name | DR. KIRSTAN KATHLEEN MELDRUM |
Credential | M.D. |
Practice Address |
3875 Bay Rd Ste 25 Saginaw MI 48603-2417 |
Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
Practice Telephone | 9895835370 |
Practice Fax Number | 9895831872 |
Enumeration Date | 2005-09-19 |
Last Update Date | 2020-06-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
4301102405 | MI | Allopathic & Osteopathic Physicians |
N | 2088P0231X |
Urology Specialization: Pediatric Urology |
ME111869 | FL | Allopathic & Osteopathic Physicians |
N | 2088P0231X |
Urology Specialization: Pediatric Urology |
01044956A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200378780 | 05 |
Street Address |
3875 BAY RD STE 25 |
City | SAGINAW |
State | MI |
Zip Code | 48603-2417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
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Taxonomy Code | 2088P0231X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Pediatric Urology |
Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770793325 | Henry Ford Health System | Urology | Vattikuti Urology Institute, K-9, Henry Ford Hospital, 2799 W. Bethune Avenue, Detroit, MI 48202 | 2007-05-23 |
1861457285 | Claude Reitelman | Urology | 263 Puritan Ave, Birmingham, MI 48009-4631 | 2006-04-19 |
1922233683 | Janae Preece | Urology | 3901 Beaubien St, Children's Hospital of Mi- Pediatric Urology, Detroit, MI 48201-2119 | 2009-05-26 |
1326208745 | Michigan Institute of Urology, PC | Urology | 1701 South Blvd E, Suite 340, Rochester Hills, MI 48307-6122 | 2008-06-10 |
1356519920 | Pediatric Urology of Mi | Urology | 2221 Livernois Rd Ste 103, Troy, MI 48083-1603 | 2008-02-15 |
1508900267 | Kristina D. Suson | Urology | 3901 Beaubien St, Pediatric Urology, Detroit, MI 48201-2119 | 2007-02-16 |
1750476859 | Joseph W Mashni | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
1376638429 | Lansing Institute of Urology, P.C. | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
1417042698 | Rafid H Yousif | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
1174618300 | Leonard J Zuckerman | Urology | 1625 Ramblewood Dr, East Lansing, MI 48823-6367 | 2006-10-04 |
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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.