Active NPI
James Tegart Bishop, M.D.
- Otolaryngic Allergy Physician
- Holland, MI
National Provider Identifier
1922001791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- 4301033824
- Practice address
- 388 Garden Ave
Ste 100
Holland, MI 49424-7186 - Phone
- (616) 393-0567
- Fax
- (616) 393-0562
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | 4301033824 | MI | Primary |
Addresses
Primary practice location
388 Garden Ave
Ste 100
Holland, MI 49424-7186
Mailing address
388 Garden Ave
Ste 100
Holland, MI 49424-8998
Phone (616) 393-0567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2779821 | Medicaid | MI | |
| 0407054001 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba New Health Medical
- Otolaryngic Allergy Physician
- Holland, MI
- NPI 1033198502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1922001791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 GARDEN AVE",
"address_2": "STE 100",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494248998",
"telephone_number": "616-393-0567",
"fax_number": "616-393-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 GARDEN AVE",
"address_2": "STE 100",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247186",
"telephone_number": "616-393-0567",
"fax_number": "616-393-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "JAMES",
"middle_name": "TEGART",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "MI",
"license": "4301033824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2779821",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0407054001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.