JASON MAXA (NPI# 1093778185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093778185 |
Entity Type | Individual |
Full Name | JASON MAXA |
Credential | P.A. |
Practice Address |
900 Cooper Ave Suite 3100 Saginaw MI 48602-5182 |
Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
Practice Telephone | 9895837450 |
Practice Fax Number | 9895837452 |
Mailing Telephone | 9895832794 |
Mailing Fax Number | 9895832829 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2014-07-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004158 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | RAILROAD MEDICARE | P00256268 | 01 |
MI | 1093778185 | 05 | |
MI | BCBSM PIN | 5731169 | 01 |
Street Address |
900 COOPER AVE SUITE 3100 |
City | SAGINAW |
State | MI |
Zip Code | 48602-5182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295734135 | Kenneth C. Hanson Jr. | Emergency Medicine | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2005-07-20 |
1356940738 | Libing Kathy Dong | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-18 |
1932706884 | Robert Austin Hammond | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-05 |
1689289456 | Nader Alaaeldin Refai | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-09 |
1649884958 | Justin Lee Bielby | Nurse Anesthetist, Certified Registered | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-03 |
1225640345 | Andrew Caminata | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-19 |
1043820137 | Zachary Scott Yaker | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
1265042279 | Trusha Patel | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
1699385914 | Michael Megaly | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-01 |
1992315345 | Sean-matthew Gogola Calo | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
Find all providers in zip 48602 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336447002 | Northview Medical House Calls Plc | Physician Assistant | 2475 Midland Rd, Suite 2, Saginaw, MI 48603-8005 | 2011-03-04 |
1255489001 | Judith L Sweany | Physician Assistant | 3400 N Center Rd Ste 500, Saginaw, MI 48603-7922 | 2007-01-08 |
1447216999 | Jill Anne Lebourdais | Physician Assistant | 4905 Berl Dr, Saginaw, MI 48604-2801 | 2006-04-25 |
1386630598 | Brian J Watson | Physician Assistant | 100 S Jefferson Ave, Suite 202, Saginaw, MI 48607-1267 | 2005-09-22 |
1083240865 | Jacob Angus Macdowell | Physician Assistant | 3150 Hallmark Ct Ste 2, Saginaw, MI 48603-2173 | 2020-03-12 |
1992270870 | Saginaw Valley Family Care, Pllc | Physician Assistant | 4386 State St, Saginaw, MI 48603-4067 | 2018-10-08 |
1811356512 | Jennifer Engelby | Physician Assistant | 926 N Michigan Ave, Saginaw, MI 48602-4369 | 2016-02-23 |
1598175168 | Marc Evan Thompson | Physician Assistant | 800 Cooper Ave, Saginaw, MI 48602-5394 | 2014-05-05 |
1033462635 | Marcus S Breidinger | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2012-10-19 |
1972886703 | Zachary Benjamin Retzler | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2011-09-28 |
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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.