Adult Endocrinology Consultants, PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4301052982 Issued in MI

Legal business name

ADULT ENDOCRINOLOGY CONSULTANTS, PC

Practice address

3145 W Clark Rd
Ste 104
Ypsilanti, MI 48197-1120

Phone

(734) 779-2136

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony John Kilbane, MDNPI 1730292020

Title

President

Phone

(734) 779-2136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony John Kilbane, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
  • NPI 1730292020
  Medicare reassignment NPD Authorized official
• Bassem Jamil Basha, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Livonia, MI
  • NPI 1073565214
  NPD (past)
• Marta Hernadi

  • Medical Physician Assistant
  • Pinckney, MI
  • NPI 1932860806
  NPD (past)
• Binju Joel, MD

  • Internal Medicine Physician
  • Ann Arbor, MI
  • NPI 1699817833
  NPD (past)
• Anne Elizabeth Kenney, NURSE PRACTITIONER

  • Nurse Practitioner
  • Howell, MI
  • NPI 1184722852
  NPD (past)
• Wardeh Mouzahem, FNP-BC

  • Nurse Practitioner
  • Livonia, MI
  • NPI 1578303830
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1114107067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "STE 104",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-779-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "STE 104",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-779-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT ENDOCRINOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "KILBANE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-779-2136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301052982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.