Michael John Kissenberth in Greenville - Sports Medicine
Michael John Kissenberth - NPI 1184670994
Michael John Kissenberth is a Sports Medicine in Greenville, South Carolina. Michael John Kissenberth practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael John Kissenberth is 1184670994. The last update date is 2021-05-06.
Michael John Kissenberth's current location address is 200 Patewood Dr Ste C100, Greenville, South Carolina. You can contact this provider via phone number 8644547422 and fax number 8644548265. The mailing address for Michael John Kissenberth is 200 Patewood Dr Ste C100, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Kissenberth |
|---|---|
| Address | 200 Patewood Dr Ste C100, Greenville, South Carolina |
| Phone Number | 8644547422 |
| Fax Number | 8644548265 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184670994 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 200 Patewood Dr Ste C100 |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296156322 |
| Phone Number | 8644547422 |
| Fax Number | 8644548265 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 27259 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7359182 | SC | CIGNA | |
| 272591 | SC | -- | |
| 576007863133 | SC | BLUE CHOICE OF SC | |
| 7422707 | SC | AETNA | |
| P00271214 | SC | RR MEDICARE | |
| 576007863158 | SC | BCBS OF SC |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael John Kissenberth by the Centers for Medicare & Medicaid Services?
The Michael John Kissenberth has been assigned the NPI (National Provider Identifier) 1184670994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Michael John Kissenberth?
The Michael John Kissenberth is situated at 200 Patewood Dr Ste C100, in the city of Greenville, state of SC, with the zip code 296156322.
What is Michael John Kissenberth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael John Kissenberth is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184670994 to Michael John Kissenberth?
The Michael John Kissenberth received its 1184670994 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.
When was the information regarding Michael John Kissenberth most recently updated?
The details pertaining to the Michael John Kissenberth, including its address, specialty, and other relevant information, were last refreshed on 2021-05-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY