DR. JACALYN MEREDITH BISHOP M.D. NPI 1063579415

NPI Information

NPI: 1063579415
Provider Name: DR. JACALYN MEREDITH BISHOP, M.D.
Classification: Pediatrics - 2080P0205X
Entity Type: Individual

Specialization: Pediatric Endocrinology

CLIA Number: 23D2014810

Address:
25500 MEADOWBROOK RD
SUITE 130
NOVI, MI
ZIP 48375
Phone: (248) 347-3344
Get Directions

DR. Jacalyn Meredith Bishop, M.D. is a pediatric endocrinology pediatrics in Novi, MI. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. DR. Jacalyn Meredith Bishop, M.D. NPI is 1063579415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25500 MEADOWBROOK RD
SUITE 130
NOVI, MI
ZIP 48375-878
Phone: (248) 347-3344
Fax: (248) 305-6845

The CLIA number assigned to this NPI record is 23D2014810 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 1/17/2017.

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
1	2080P0205X	Pediatrics	Pediatric Endocrinology	4301077893	MICHIGAN	Yes

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
1	519615310	MEDICAID	MICHIGAN

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: 4/28/2024

NPI Synchronization or Removal

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