MR. CHRISTOPHER A FEGLEY (NPI# 1003814476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003814476 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER A FEGLEY |
| Credential | PA |
| Practice Address |
1100 E Michigan Ave Suite 301 Jackson MI 49201-1847 |
| Mailing Address |
Po Box 67000 Department 272801 Detroit MI 48267-0002 |
| Practice Telephone | 5178177605 |
| Practice Fax Number | 5178177606 |
| Mailing Telephone | 5178416913 |
| Mailing Fax Number | 5178416917 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4301090246 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
50001592 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 E MICHIGAN AVE SUITE 301 |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192483 | Mary Anne Purtill | Surgery | 1100 E Michigan Ave, Ste 201, Jackson, MI 49201-1847 | 2005-05-27 |
| 1417338914 | Beth Kalis | Nurse Practitioner | 1100 E Michigan Ave, Suite 307, Jackson, MI 49201-1847 | 2015-06-11 |
| 1669868154 | Meghan Armstrong | Physician Assistant | 1100 E Michigan Ave, Suite 307, Jackson, MI 49201-1847 | 2015-04-10 |
| 1003167321 | Katherine Ann Mccormack | Physician Assistant | 1100 E Michigan Ave, Ste. 201, Jackson, MI 49201-1847 | 2012-09-26 |
| 1316229628 | Pallavi Bhargava | Internal Medicine | 1100 E Michigan Ave, Suite 305, Jackson, MI 49201-1847 | 2011-09-13 |
| 1114162625 | Vishal Gupta | Internal Medicine | 1100 E Michigan Ave, Ste 310, Jackson, MI 49201-1847 | 2008-12-12 |
| 1912174921 | Arthur R Vendola Md PC | Obstetrics & Gynecology | 1100 E Michigan Ave, Suite 202, Jackson, MI 49201-1847 | 2008-05-09 |
| 1659549228 | Kabindra N Mishra Md PC | Specialist | 1100 E Michigan Ave, Suite 308, Jackson, MI 49201-1847 | 2008-02-15 |
| 1144407446 | Rajan Pastoriza Md Plc | Obstetrics & Gynecology | 1100 E Michigan Ave, Ste 205, Jackson, MI 49201-1847 | 2008-01-29 |
| 1255520573 | Daniel P Freeman Mdpc | Psychiatry & Neurology | 1100 E Michigan Ave, Suite 302, Jackson, MI 49201-1847 | 2007-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629206784 | Sarah Beth Poplawski | Physician Assistant | 205 N. East Avenue, Emergency Department, Jackson, MI 49201 | 2009-06-29 |
| 1225167356 | Marianne Elizabeth Lapointe | Physician Assistant | 815 Court St Ste 7, Jackson, CA 95642-2154 | 2007-03-05 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1427109149 | Coreen Dian Garcia-sweets | Physician Assistant | 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 | 2007-01-16 |
| 1861552556 | Marc A Fierro | Physician Assistant | 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 | 2006-12-11 |
| 1427146539 | James E Abernathy II | Physician Assistant | 294 Sumar Dr, Jackson, TN 38301 | 2006-10-11 |
| 1184633935 | Kelly Elizabeth Graver Pate | Physician Assistant | 9279 Locust St., Jackson, CA 95669 | 2006-08-07 |
| 1548241359 | Byron Michael Breeding | Physician Assistant | 144 Edenwood Dr, Jackson, TN 38301-3827 | 2005-11-09 |
| 1033735709 | Anna Marie Plumley | Physician Assistant | 1325 N West Ave, Jackson, MI 49202-2050 | 2020-06-18 |
| 1093347072 | Jessica Emil Ansara | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-02-07 |
| Find all providers in JACKSON | ||||
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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.