Karen P Isopi, PA-C
Individual provider Active NPI Medical Physician Assistant · Saint Clair Shores, MI
NPI 1609928985 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609928985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 004248 (MI)
- Practice address
- 28730 Harper Ave
Saint Clair Shores, MI 48081-1250 - Phone
- (586) 772-7180
- Fax
- (586) 279-0033
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041013000761 | MI | Practitioner - Physician Assistant | 8820058928 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004248 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Health Corporation of Southeastern Michigan | Current |
Accepting new patients | |
| Shores Primary Care, P.C. | Past | Accepting new patients | |
| Alliance of Home Care Physicians, PC | Past | Accepting new patients |
Locations
22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161
21000 E 12 Mile Rd
Ste 105
St Clr Shores, MI 48081
Phone (586) 498-3606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004248 | MI | Yes |
Addresses
Primary practice location
28730 Harper Ave
Saint Clair Shores, MI 48081-1250
Mailing address
28730 Harper Ave
Saint Clair Shores, MI 48081-1250
Phone (586) 772-7180
Other providers in Saint Clair Shores, MI
- Eagan Ingrody
- Innovative Physical Therapy Inc
- Integrative Counseling Services LLC
- Susan Dawn Ireland
- Jenna Isherwood
- Raafat Issa
- Elizabeth Iwankovitsch
- Chandrika Iyer
- Denise M Jabbour
- Jack Failla D.C.P.C.
All providers in Saint Clair Shores, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.