DR. KATHLEEN M MAKSIMOWICZ-MCKINNON (NPI# 1922072602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922072602 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN M MAKSIMOWICZ-MCKINNON |
| Credential | DO |
| Practice Address |
3031 W Grand Blvd Ste 800 Detroit MI 48202-3141 |
| Practice Telephone | 3139162631 |
| Mailing Telephone | 3139162631 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | OS013023 | PA | Other Service Providers |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
5101014012 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101007671 | 05 |
| Street Address |
3031 W GRAND BLVD STE 800 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801356456 | Rebecca Wang | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2019-03-20 |
| 1780116301 | Angela Jiang | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd Ste 800, Detroit, MI 48202 | 2017-04-02 |
| 1811359003 | Taylor Lee Braunberger | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2016-03-25 |
| 1598133191 | Rajeev Kumar Sharma | Pharmacist | 3031 W Grand Blvd Ste 800, Henry Ford Medical Center- Pharmacy, Detroit, MI 48202-3141 | 2015-09-13 |
| 1477813855 | Ben Jacob Friedman | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2012-05-21 |
| 1114283678 | Anna Rogers Axelson | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2012-04-09 |
| 1417286998 | Leslie Diane Barrett | Dietitian, Registered | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2009-12-14 |
| 1518195981 | Marla Nicole Jahnke | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2009-06-24 |
| 1588863260 | Denise Woo | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2007-07-13 |
| 1386775526 | Terra Lee Cushman | Registered Nurse | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1982738290 | University Internal Medicine Specialists | Internal Medicine | 4160 John R., Suite 917, Detroit, MI 48201 | 2007-03-16 |
| 1649690710 | Sufiya Shaik Hussain | Internal Medicine | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2014-04-16 |
| 1629146170 | Michael R. Lubetsky | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-01 |
| 1922176460 | Donard G. Haggins | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
| 1477561330 | Angelia Bankston Mosley-williams | Internal Medicine | 4646 John R St, (11m), Detroit, MI 48201-1916 | 2006-08-04 |
| 1306883814 | Vanika Lath | Internal Medicine | 22341 W 8 Mile Rd, Ste 201, Detroit, MI 48219-1217 | 2006-06-01 |
| 1609830397 | Bernard R Rubin | Internal Medicine | 3031 W Grand Blvd, Rheumatology - Nco 8, Detroit, MI 48202-3046 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
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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.