MS. LEEANN WICKENS (NPI# 1003174533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003174533 |
| Entity Type | Individual |
| Full Name | MS. LEEANN WICKENS |
| Credential | P.A. |
| Practice Address |
41221 Little Rd Clinton Twp MI 48036-1411 |
| Practice Telephone | 5862031940 |
| Mailing Telephone | 5862031940 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001022 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
41221 LITTLE RD |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48036-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1831478361 | Whitney Marie Wright | Physician Assistant | 43475 Dalcoma Dr., Ste 900, Clinton Twp, MI 48038 | 2011-08-15 |
| 1598906075 | Sunitha Varughese | Physician Assistant | 19821 Woodview Dr, Clinton Twp, MI 48038-4954 | 2009-03-13 |
| 1538644059 | Daniel Allan Elkins | Physician Assistant | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2018-10-01 |
| 1962994442 | Karl Bjorn Ecklund | Physician Assistant | 15945 19 Mile Rd Ste 106, Clinton Twp, MI 48038-1147 | 2018-05-31 |
| 1831627165 | Alyssa Stork | Physician Assistant | 42621 Garfield Rd Ste 108, Clinton Twp, MI 48038-5031 | 2017-05-31 |
| 1215464615 | Erin Migda Morrison | Physician Assistant | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2017-05-16 |
| 1922497072 | Lauren Ammar Dawley | Physician Assistant | 21550 Harrington St, Ste. A, Clinton Twp, MI 48036-2362 | 2015-01-13 |
| 1093112542 | Holly Alderman | Physician Assistant | 43740 Garfield Rd, Clinton Twp, MI 48038-1122 | 2014-11-28 |
| 1528317153 | Kelly Marie Poletis | Physician Assistant | 15855 19 Mile Rd, Clinton Twp, MI 48038 | 2012-08-29 |
| Find all providers in CLINTON TWP | ||||
| City | CLINTON TWP |
| Zip Code | 48036 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.