STEPHANIE M ANSELMI (NPI# 1033345863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033345863 |
| Entity Type | Individual |
| Full Name | STEPHANIE M ANSELMI |
| Credential | PA-C |
| Practice Address |
21516 Gregory St Dearborn MI 48124-3006 |
| Practice Telephone | 3136173906 |
| Mailing Telephone | 3136173906 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2015-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21516 GREGORY ST |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669636130 | Lisa A Boros-laurain | Physician Assistant | 3133 S.telegraph, Dearborn, MI 48124 | 2008-07-15 |
| 1912169343 | Amin Huballah | Physician Assistant | 7526 Wyoming St, Suite #2, Dearborn, MI 48126-1690 | 2008-06-26 |
| 1982743209 | Jessica Ashley Preston | Physician Assistant | 2100 Monroe St, Dearborn, MI 48124-2923 | 2007-02-05 |
| 1992863872 | Rocelious Goodson IIi | Physician Assistant | 4241 Maple St, Suite 200 D, Dearborn, MI 48126-3826 | 2006-12-04 |
| 1417995507 | Inshad Hassan Beydoun | Physician Assistant | 4789 Westland St, Dearborn, MI 48126-2809 | 2006-06-02 |
| 1215922109 | Houssam M Fadlallah | Physician Assistant | 6500 Schaefer Rd, Suite A, Dearborn, MI 48126 | 2005-09-16 |
| 1548816440 | Aisha Akilah Stokes | Physician Assistant | 6050 Greenfield Rd, Dearborn, MI 48126-6004 | 2019-08-15 |
| 1740753698 | Brittany N Glines | Physician Assistant | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2019-01-03 |
| 1689197659 | Rania Krayem | Physician Assistant | 6450 Maple St, Dearborn, MI 48126-2259 | 2017-07-21 |
| 1144769084 | Nadine Tarraf | Physician Assistant | 1022 N Telegraph Rd, Dearborn, MI 48128-1622 | 2017-02-13 |
| Find all providers in DEARBORN | ||||
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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.