Konstance Kasimos, MD
Individual provider Active NPI Family Medicine Physician · Durand, MI
NPI 1497168686 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1497168686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301105597 (MI)
- Practice address
- 9099 E Lansing Rd Ste a
Durand, MI 48429-1083 - Phone
- (989) 288-2651
- Fax
- (989) 288-2087
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- konstancekasimos@memh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301105597 | MI | Yes |
Addresses
Primary practice location
9099 E Lansing Rd Ste a
Durand, MI 48429-1083
Mailing address
9099 E Lansing Rd Ste a
Durand, MI 48429-1083
Phone (989) 288-2651
Other providers in Durand, MI
- Robert M. Hass
- Jason Hollady
- Adam J Horski
- Hurley Medical Center
- Hurley Medical Center
- Angelika Kujacznski
- Brianna Marie Lafferty
- Lawrence a Gralewski
- Randall David Lewis
- Meredith M Lovasz
All providers in Durand, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.