DR. KENNETH HIROSHI KANESHIRO (NPI# 1962450296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450296 |
| Entity Type | Individual |
| Full Name | DR. KENNETH HIROSHI KANESHIRO |
| Credential | M.D. |
| Practice Address |
230 Temple St Mason MI 48854-1837 |
| Mailing Address |
230 Temple St Po Box 39 Mason MI 48854-1837 |
| Practice Telephone | 5176769066 |
| Practice Fax Number | 5176763505 |
| Mailing Telephone | 5176769066 |
| Mailing Fax Number | 5176763505 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
4301050328 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | KK050328 | 01 |
| MI | PHPMM | 01-00217 | 01 |
| MI | PHPFC | 0170217 | 01 |
| MI | BCN | P94722 | 01 |
| Street Address |
230 TEMPLE ST |
| City | MASON |
| State | MI |
| Zip Code | 48854-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340499 | Jamie Michelle Greenblatt | Family Medicine | 230 Temple St, Mason, MI 48854-1851 | 2020-03-05 |
| 1437331501 | Edward W. Sparrow Hospital Association | Family Medicine | 230 Temple St, Mason, MI 48854-1837 | 2007-11-30 |
| 1528273026 | Molly Arnold Craven | Family Medicine | 230 Temple St, Mason, MI 48854-1851 | 2007-05-10 |
| 1770600504 | Gary P Mulnix | Dentist | 230 Temple St, Suite 1, Mason, MI 48854-1851 | 2007-03-25 |
| 1679678775 | Stephen D Witzke | Family Medicine | 230 Temple St, Mason, MI 48854-1837 | 2006-09-13 |
| 1942242946 | Douglas W Gray | Dentist | 230 Temple St, Mason, MI 48854-1837 | 2006-06-12 |
| 1558310771 | Dawn Ellen Springer | Family Medicine | 230 Temple St, Mason, MI 48854-1837 | 2006-05-06 |
| 1205884798 | Temple Street Family Practice P.C. | Family Medicine | 230 Temple St, Mason, MI 48854-1837 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346579315 | Daniel Allen Franklin | Family Medicine | 3976 Sandtrap Cir, Mason, OH 45040-2171 | 2009-12-21 |
| 1558310771 | Dawn Ellen Springer | Family Medicine | 230 Temple St, Mason, MI 48854-1837 | 2006-05-06 |
| 1205884798 | Temple Street Family Practice P.C. | Family Medicine | 230 Temple St, Mason, MI 48854-1837 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717632 | Visiting Caring Doctors Plc | Family Medicine | 18000 W 9 Mile Rd Ste 700l, Southfield, MI 48075-4009 | 2020-10-15 |
| 1265045389 | Synchronymd Limited Liability Company | Family Medicine | 1578 Scenic Hollow Dr, Rochester Hills, MI 48306-3246 | 2020-08-28 |
| 1063045839 | Rtsmedicalgroupllc | Family Medicine | 5210 Yorkshire Rd, Detroit, MI 48224-2139 | 2020-02-19 |
| 1194234120 | Prime Mobile Care Incorporated | Family Medicine | 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 | 2017-09-21 |
| 1093233132 | Right At Home Physicians Pllc | Family Medicine | 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 | 2017-09-08 |
| 1821531831 | Ant Hill, Inc. | Family Medicine | 21 Midland St, Highland Park, MI 48203-3727 | 2016-11-22 |
| 1518419043 | Alma Care Visiting Services | Family Medicine | 11352 Gabriel St, Romulus, MI 48174-1431 | 2016-11-01 |
| 1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
| 1417311762 | Adam Wolfe | Family Medicine | 1101 W University Dr # 2-south, Rochester, MI 48307-1863 | 2016-04-12 |
| 1801255906 | Westland Primary Care Pllc | Family Medicine | 8311 N Wayne Rd, Westland, MI 48185-1351 | 2016-02-17 |
| Find all providers with the same taxonomy | ||||
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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.