JACALYN M. BISHOP M.D. – NPI #1063579415
Pediatrics

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 is a physician located in NOVI, MI. NPPES has assigned the NPI number 1063579415 to JACALYN BISHOP on January 03, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JACALYN MEREDITH LESSER. The primary taxonomy selected by this provider is 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology

The NPI profile was previously updated about 9 years ago on Jan 17, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACALYN BISHOP below.

NPI Profile for
JACALYN M. BISHOP

NPI Number
1063579415
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACALYN M. BISHOP
Former Name: JACALYN MEREDITH LESSER
Credentials
M.D.
Primary location
25500 MEADOWBROOK RD
SUITE 130
NOVI, MI 48375-1878
Phone: (248) 347-3344 Fax: (248) 305-6845
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for JACALYN BISHOP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI519615310
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0205X
- Pediatrics / Pediatric Endocrinology (Primary)
MI 4301077893

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.