MS. MIRANDA LEAH KATTY


Address: 16001 W 9 Mile Rd, Southfield, MI 48075-4818
Phone: 2488493994

MS. MIRANDA LEAH KATTY (NPI# 1023461134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023461134
Entity Type Individual
Full Name MS. MIRANDA LEAH KATTY
Credential M.S. PA-C
Practice Address 16001 W 9 Mile Rd
Southfield
MI 48075-4818
Mailing Address 7301 Oak Tree Dr
West Bloomfield
MI 48322-3126
Practice Telephone 2488493994
Mailing Telephone 2488679065
Enumeration Date 2016-07-14
Last Update Date 2019-05-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601007838 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7301 Oak Tree Dr, West Bloomfield, MI 483223126 2488679065

Office Location

Street Address 16001 W 9 MILE RD
City SOUTHFIELD
State MI
Zip Code 48075-4818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114929338 Sally Rae Arbuckle Registered Nurse 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2005-06-01
1730780651 Jennifer Bekes Nurse Anesthetist, Certified Registered 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-11-06
1497361133 Matthew Hoffman Nurse Anesthetist, Certified Registered 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-09-18
1447866215 Marisa Mcalister Nurse Practitioner 16001 W 9 Mile Rd, Southfield, MI 48075-4803 2020-09-17
1629682935 John Michael Faraj Registered Nurse 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-09-03
1861017337 Adnan Basheer Internal Medicine 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-10
1891319885 Seti Kelemework Belay Radiology 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-04
1467076851 Alexa Rae Arvidson Internal Medicine 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-02
1275157638 Angela Niezgoda Obstetrics & Gynecology 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-02
1942824453 Marc Thomas Zughaib Internal Medicine 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144457706 Kimberly Lynn Cosbey Physician Assistant 29829 Telegraph Rd Ste 200, Southfield, MI 48034-7656 2009-06-22
1225057664 Lindsay Kathryn Brown Physician Assistant 17515 W 9 Mile Rd Ste 340, Southfield, MI 48075-4426 2006-07-18
1790766509 John Kay Nwadinobi Physician Assistant 29610 Southfield Rd, Ste 250, Southfield, MI 48076-2000 2005-11-09
1053976951 Rafik E Mansour Physician Assistant 23832 Southfield Rd, Southfield, MI 48075-8000 2019-05-06
1316455215 Melissa Courtney Gasiorek Physician Assistant 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 2018-01-14
1255781928 Katherine Rambeau Physician Assistant 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2016-06-14
1447629795 Soham Trivedi Physician Assistant 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2015-09-16
1235366162 James Benjiman Burdette IIi Physician Assistant 23999 Northwestern Hwy, Suite # 110, Southfield, MI 48075-2578 2009-06-18
1447485180 Michael Allen Greene Physician Assistant 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2009-05-26
1588818496 Katherine Marie Mccarthy Physician Assistant 16001 W 9 Mile Rd, Department of Neonatology, Southfield, MI 48075-4818 2008-11-06
Find all providers in SOUTHFIELD

Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

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.

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