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FREDERICK C KOMINARS P.A.-C NPI 1760477657


NPI Information

NPI: 1760477657
Provider Name: FREDERICK C KOMINARS, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5300 ELLIOTT DR
YPSILANTI, MI
ZIP 48197
Phone: (734) 434-6262
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Frederick C Kominars, P.A.-C is a medical physician assistant in Ypsilanti, MI with 30 years of experience. Frederick C Kominars, P.A.-C NPI is 1760477657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5300 ELLIOTT DR
YPSILANTI, MI
ZIP 48197-632
Phone: (734) 434-6262
Fax: (713) 712-2820

The NPI 1760477657 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 1/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalFK002395MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11058112690OTHERMICHIGANBCBS INDIVIDUAL
2M86720015MEDICARE PINMICHIGAN
3S57892MEDICARE UPIN
4M86730015MEDICARE PINMICHIGAN
50H14989OTHERMICHIGANBCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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