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JACALYN BISHOP MD PC NPI 1396947164


NPI Information

NPI: 1396947164
Provider Name: JACALYN BISHOP, MD, PC

Doing Business As: ENDOCRINE KIDS

Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

Address:
44000 W. 12 MILE RD,
SUITE 103
NOVI, MI
ZIP 48377
Phone: (248) 347-3344
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JACALYN BISHOP, MD, PC 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. JACALYN BISHOP, MD, PC NPI is 1396947164. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Endocrine Kids.

The provider's business location address is:

44000 W. 12 MILE RD,
SUITE 103
NOVI, MI
ZIP 48377-646
Phone: (248) 347-3344
Fax: (348) 305-6845

The provider's authorized official is Jacalyn Meredith Bishop .
The authorized official title is Owner and has the following contact phone number (248) 347-3344.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 10/19/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric EndocrinologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P47170MEDICARE PINMICHIGAN

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

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