Provider Demographics
NPI:1033198502
Name:JAMES T. BISHOP, M.D., P.C.
Entity Type:Organization
Organization Name:JAMES T. BISHOP, M.D., P.C.
Other - Org Name:NEW HEALTH MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TEGART
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-393-0567
Mailing Address - Street 1:844 S WASHINGTON AVE
Mailing Address - Street 2:STE 1800
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-7186
Mailing Address - Country:US
Mailing Address - Phone:616-393-0567
Mailing Address - Fax:616-393-0562
Practice Address - Street 1:844 S WASHINGTON AVE
Practice Address - Street 2:STE 1800
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-7186
Practice Address - Country:US
Practice Address - Phone:616-393-0567
Practice Address - Fax:616-393-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP21350Medicare ID - Type Unspecified