Kathleen Marie Bajorek

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

4704307506 Issued in MI

Practice address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Phone

(248) 898-6000

NPI assigned

Jun 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1902473390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 ELLWOOD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721134",
            "telephone_number": "248-881-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-898-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJOREK",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MI",
            "license": "4704307506",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Bailey-Hill
• Joshua Bailey, DO
• Maggie Bailey, MD
• Jessica A Bair Sukarukoff
• Sunil Kumar Bajaj, MD
• Ajwad Bajwa, M.D.
• Jennifer Marie Bak, PH.D., LMFT
• Aleka Marie Baker, PA-C
• Joshua H Baker, DO, PHD
• Nicolas Baker, MD

• Gerontology Clinical Nurse Specialist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Gerontology Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.