Justin Frank Klamerus, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

4301095357 Issued in MI

Practice address

701 N Otsego Ave
Gaylord, MI 49735-1558

Phone

(989) 731-7760

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Barbara Ann Karmanos Cancer Hospital

  • Community/Retail Pharmacy
  • Farmington Hills, MI
  • NPI 1962114744
  NPD (past)
• McLaren Community Based Primary Care Group

  • Physical Therapist
  • Clarkston, MI
  • NPI 1770448920
  NPD (past)
• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1063468288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CONNABLE AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702212",
            "telephone_number": "231-487-7129",
            "fax_number": "231-487-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351558",
            "telephone_number": "989-731-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAMERUS",
        "first_name": "JUSTIN",
        "middle_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "4301095357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301095357",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Lynn King
• Jacob Taylor King
• Caila Carolyn Kippe, PA-C
• Lauren Grace Kirby, LLMSW
• Jenni Kirt
• Aimee E Klein, RN
• Michelle D Klein, LMSW
• Kleinebreil Optometry PLLC
• Anna Leah Kleinebreil, O.D.
• Taylor A Knight, BEHAVIOR TECHNICIAN

• Medical Oncology Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Medical Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.