DEREK FALK (NPI# 1073920633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073920633 |
| Entity Type | Individual |
| Full Name | DEREK FALK |
| Credential | NP |
| Practice Address |
13924 Wadaga Rd Baraga MI 49908-9204 |
| Practice Telephone | 9063537070 |
| Mailing Telephone | 9063537070 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704260522 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13924 WADAGA RD |
| City | BARAGA |
| State | MI |
| Zip Code | 49908-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568429496 | Patricia A Lewis | Nurse Practitioner | 13924 Wadaga Rd, Baraga, MI 49908 | 2006-04-26 |
| 1750576690 | Thomas Kallal | Dentist | 13924 Wadaga Rd, Baraga, MI 49908-9204 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836199 | Whitney Newsom | Nurse Practitioner | 103 Superior Avenue, Baraga, MI 49908 | 2018-09-28 |
| 1053499483 | Chung Oh | Family Medicine | 102 Superior Ave, Baraga, MI 49908 | 2006-11-02 |
| 1760560197 | Marianne J Brady | Psychologist | 102 Superior Ave, Baraga, MI 49908 | 2006-11-02 |
| 1528146081 | Joseph P Zobro | Family Medicine | 102 Superior Ave, Baraga, MI 49908 | 2006-11-01 |
| 1659457893 | Kathleen Ann Witkowski | Social Worker | 102 Superior Ave, Baraga, MI 49908 | 2006-10-31 |
| 1528155843 | Richard Brent Johnson | Dentist | 102 Superior Ave, Baraga, MI 49908 | 2006-10-06 |
| 1720174154 | Suzan Jeanne Ollila | Registered Nurse | 102 Superior Ave, Baraga, MI 49908 | 2006-10-05 |
| 1962052779 | Ann Marie Lanala | Social Worker | 13306 Selkey Rd, Baraga, MI 49908-8700 | 2019-09-13 |
| 1972657716 | Jennifer Joi Hirzel | Chiropractor | 13528 Old 41 Rd, Keweenaw Bay, MI 49908-9022 | 2007-01-22 |
| 1275518417 | Toby Leroy Klassen | Chiropractor | 13418 Us Highway 41, Baraga, MI 49908-9063 | 2005-12-09 |
| Find all providers in zip 49908 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.