MEDICARE: JAMES T. BISHOP, M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0602X	Otolaryngic Allergy Physician

General Provider Information

NPI Number	:	1033198502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES T. BISHOP, M.D., P.C.

Provider Business Mailing Address
First Line	:	844 S WASHINGTON AVE
Second Line	:	STE 1800
City	:	HOLLAND
State	:	MI
Zip	:	49423-7186
Country	:	US
Telephone Number	:	616-393-0567
Fax Number	:	616-393-0562

Provider Business Practice Location Address
First Line	:	844 S WASHINGTON AVE
Second Line	:	STE 1800
City	:	HOLLAND
State	:	MI
Zip	:	49423-7186
Country	:	US
Telephone Number	:	616-393-0567
Fax Number	:	616-393-0562

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES TEGART BISHOP
Credential	:	M.D.
Telephone Number	:	616-393-0567

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	08/22/2020

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