Jacalyn Bishop, MD, PC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

JACALYN BISHOP, MD, PC

Doing business as

Endocrine Kids

Practice address

44000 W. 12 Mile Rd,
Suite 103
Novi, MI 48377-2646

Phone

(248) 347-3344

Fax

(348) 305-6845

NPI assigned

Jun 4, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacalyn Meredith Bishop, M. D.NPI 1063579415

Title

Owner

Phone

(248) 347-3344

Specialties & licenses 1

Addresses

Other names 1

• Endocrine Kids Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacalyn Meredith Bishop, M.D.

  • Pediatric Endocrinology Physician
  • Novi, MI
  • NPI 1063579415
  Authorized official Same address or phone

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1396947164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE ROAD",
            "address_2": "SUITE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-347-3344",
            "fax_number": "248-305-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 W. 12 MILE RD,",
            "address_2": "SUITE 103",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772646",
            "telephone_number": "248-347-3344",
            "fax_number": "348-305-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACALYN BISHOP, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JACALYN",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-347-3344",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrine Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peace Izabayo
• Michelle Izor, PHARMD
• J & G Partnership LLC (Goldstein Dental Group)
• Fatama Jaafar
• Danya Jaber
• Monique K Jack
• Emma Jackman
• Brittany Jackson
• Capri Jackson
• Courtney Jackson

• Pediatric Endocrinology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Pediatric Endocrinology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.