NICHOLA K JARDAS (NPI# 1083669402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083669402 |
| Entity Type | Individual |
| Full Name | NICHOLA K JARDAS |
| Credential | PA-C |
| Practice Address |
26 E Saginaw Rd Unit 4 Sanford MI 48657-9293 |
| Mailing Address |
25 S Westlawn Dr Midland MI 48640-7822 |
| Practice Telephone | 9896877812 |
| Practice Fax Number | 9896877813 |
| Mailing Telephone | 9898323129 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004596 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26 E SAGINAW RD UNIT 4 |
| City | SANFORD |
| State | MI |
| Zip Code | 48657-9293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396850418 | Sanford Medical Center P C | Clinic/Center | 26 E Saginaw Rd, Unit 4, Sanford, MI 48657-9293 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528202561 | Heidi Deborah Krenzke | Massage Therapist | 474 Taylor Dr., Sanford, MI 48657 | 2009-04-21 |
| 1356306641 | Michael Dale Bowen | Dentist | 292 E Saginaw Rd, Sanford, MI 48657 | 2006-04-19 |
| 1861827081 | Tina Lynn Kopka | Occupational Therapist | 896 W Lake Forest Dr, Sanford, MI 48657-9126 | 2013-09-06 |
| 1013043413 | Srisai Rx Mart LLC | Pharmacy | 28 W Saginaw Rd, Sanford, MI 48657-9206 | 2007-02-27 |
| 1609864164 | Jennifer Lynn Dear | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2005-10-10 |
| 1902234255 | Elizabeth Eva Wright | Physician Assistant | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2013-10-24 |
| 1619229663 | Midmichigan Medical Center Clare | Clinic/Center | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2012-10-15 |
| 1265535272 | Tammy Phillips | Family Medicine | 40 W Saginaw Rd, Sanford, MI 48657-9206 | 2006-09-06 |
| 1740621606 | Michael D Bowen Dds PC | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-07-08 |
| 1780020057 | Christina M Behring | Dentist | 292 E Saginaw Rd, Sanford, MI 48657-9220 | 2013-05-14 |
| Find all providers in zip 48657 | ||||
| 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 |
|---|---|---|---|---|
| 1922611565 | Kiarash Peter Rahmanian | Physician Assistant | Central Carolina Hospital - Emergency Medicine, 1135 Carthage Street, Sanford, NC 27330-4162 | 2020-08-24 |
| 1679045835 | Daniel Burleson | Physician Assistant | 1212 Central Dr Ste 103, Sanford, NC 27330-4170 | 2018-12-27 |
| 1588147458 | Tyler Harrell | Physician Assistant | 96 Mountain View Dr, Sanford, NC 27332-1361 | 2018-09-07 |
| 1538675806 | Karli Ann Plunkett | Physician Assistant | 141 Bellagio Cir, Sanford, FL 32771-5000 | 2017-12-21 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1992111488 | Innovative Healthcare Solutions of Florida LLC | Physician Assistant | 1561 Travertine Ter, Sanford, FL 32771-7731 | 2014-07-07 |
| 1902228786 | Samantha Gordon | Physician Assistant | 1811 Phillips Dr, Sanford, NC 27330 | 2014-01-13 |
| 1629329727 | Leah Marie Gruber | Physician Assistant | 2412 Wilkins Dr., Sanford, NC 27330 | 2012-09-28 |
| 1134442338 | Jennifer Rahn Bridger | Physician Assistant | 717 N Horner Blvd, Sanford, NC 27330-3517 | 2010-03-03 |
| Find all providers in SANFORD | ||||
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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.