ALLAN WALTER BARBISH (NPI# 1891743191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891743191 |
| Entity Type | Individual |
| Full Name | ALLAN WALTER BARBISH |
| Credential | M.D. |
| Practice Address |
3304 Cooley Ct Portage MI 49024 |
| Mailing Address |
3304 Cooley Ct Portage MI 49024-7430 |
| Practice Telephone | 2693492266 |
| Mailing Telephone | 2693492266 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301406927 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301406927 | MI | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01040132 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100355770 | 05 | |
| IN | ANTHEM | 000000670101 | 01 |
| IN | R.R. MEDICARE | P00916064 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Medical Center Dr, Ann Arbor, MI 481095000 | 7349364000 |
| Street Address |
3304 COOLEY CT |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912962838 | Thomas Paul Gushurst | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7340 | 2006-04-20 |
| 1982204640 | Kaitlyn Renea Davidson | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-30 |
| 1467052753 | Courtney Brooke Wyant | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-27 |
| 1760982599 | Cynthia Wolf Jubenville | Social Worker | 3304 Cooley Ct, Portage, MI 49024-7430 | 2018-02-19 |
| 1437689296 | Amanda Marie Veeneman | Registered Nurse | 3304 Cooley Ct, Portage, MI 49024-7430 | 2017-06-14 |
| 1154870772 | Ronald Ken Ladouce | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2016-09-23 |
| 1598141178 | Lifelinc Anesthesia Iv PC | Nurse Anesthetist, Certified Registered | 3304 Cooley Ct, Portage, MI 49024-7430 | 2015-08-05 |
| 1710389853 | Shantel Lynn Bleeker | Physician Assistant | 3304 Cooley Ct, Portage, MI 49024 | 2014-09-19 |
| 1437402229 | Bonnie Merritt Wallace | Physician Assistant | 3304 Cooley Ct, Portage, MI 49024-7430 | 2012-10-18 |
| 1790051886 | Evan Thomas Tiderington | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912962838 | Thomas Paul Gushurst | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7340 | 2006-04-20 |
| 1497710396 | Robert Dale Brouwer | Internal Medicine | 3304 Cooley Court, Portage, MI 49024 | 2006-04-20 |
| 1124452628 | Ranga Kota Md, PC | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2013-09-03 |
| 1790051886 | Evan Thomas Tiderington | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2012-03-22 |
| 1295982031 | Chethana Kanaparthi | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2008-08-23 |
| 1851569958 | Digestive Health Associates of Southwest Michigan, P.C. | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2008-02-12 |
| 1932145745 | Ranga R Kota | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2006-06-21 |
| 1790740603 | William Watson Webb | Internal Medicine | 3304 Cooley Court, Portage, MI 49024 | 2006-04-20 |
| 1679538581 | Heidi S Gjersoe | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2006-04-20 |
| 1013972926 | William Francis Hanavan | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2006-04-20 |
| Find all providers in PORTAGE | ||||
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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.