LYNNE FRANCES DIETERLE (NPI# 1104068279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104068279 |
| Entity Type | Individual |
| Full Name | LYNNE FRANCES DIETERLE |
| Credential | P.A. |
| Practice Address |
23800 Orchard Lake Rd Suite 211 Farmington Hills MI 48336-2560 |
| Mailing Address |
43455 Schoenherr Rd Ste 2 Sterling Heights MI 48313-1972 |
| Practice Telephone | 2484420800 |
| Practice Fax Number | 2484420803 |
| Mailing Telephone | 5867264823 |
| Mailing Fax Number | 5867268365 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004318 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23800 ORCHARD LAKE RD SUITE 211 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48336-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922068899 | Anthony C Munaco | Family Medicine | 23800 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48336-2561 | 2006-03-24 |
| 1932633344 | Grace E Azzo | Pharmacist | 23800 Orchard Lake Rd, Farmington Hills, MI 48336-2560 | 2017-04-13 |
| 1104209212 | Athletico Ltd | Physical Therapist | 23800 Orchard Lake Rd, Ste #101, Farmington Hills, MI 48336-2560 | 2015-07-07 |
| 1659752681 | Olivia Morris Robie | Physical Therapist | 23800 Orchard Lake Rd, Ste 101, Farmington Hills, MI 48336-2560 | 2015-06-16 |
| 1255756847 | Patricia Marie Darland | Physical Therapist | 23800 Orchard Lake Rd, Ste 101, Farmington Hills, MI 48336-2560 | 2014-02-19 |
| 1265762553 | Alexander H. Sackeyfio, M.d., P.C. | Psychiatry & Neurology | 23800 Orchard Lake Rd, 104, Farmington Hills, MI 48336-2560 | 2010-01-08 |
| 1750618716 | Cheryl A Goodreau | Specialist | 23800 Orchard Lake Rd, Ste 101, Farmington Hills, MI 48336-2560 | 2009-11-12 |
| 1992857569 | Mirza M. Baig, D.d.s., P.C. | Dentist | 23800 Orchard Lake Rd, Ste. 106, Farmington Hills, MI 48336-2560 | 2007-01-17 |
| 1215026422 | Alexander Hanmah Sackeyfio | Psychiatry & Neurology | 23800 Orchard Lake Rd, Suite #104, Farmington Hills, MI 48336-2560 | 2006-10-12 |
| 1629163985 | Zareena Banu | Dentist | 23800 Orchard Lake Rd, Ste. 106, Farmington Hills, MI 48336-2560 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733375 | Compassionate Attendant Care Inc | Home Health | 21100 Osmus Street, Suite E, Farmington Hills, MI 48336 | 2020-02-25 |
| 1578123790 | Jon Boynton | Audiologist-Hearing Aid Fitter | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2019-06-19 |
| 1083270078 | Bethesda Home Health LLC | Home Health | 34445 Northwestern Hwy, Farmington Hills, MI 48336 | 2019-05-15 |
| 1174005227 | Cisseri Health Care | Home Health | 28931 W 11 Mile Rd, Farmington Hills, MI 48336 | 2018-09-05 |
| 1326531294 | April A Jackson | Psychologist | 24211 Farmington Road, Farmington Hills, MI 48336 | 2018-06-14 |
| 1083136642 | Nicole Renee Cannonier | Social Worker | 25311 Lynford, Farmington Hills, MI 48336 | 2017-07-14 |
| 1174052021 | Sharon Suzanne King | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21600 Tulane, Farmington Hills, MI 48336 | 2017-06-05 |
| 1639578909 | Alyssa Kaitlyn Brecht | Rehabilitation Counselor | 23062 Middlebelt Rd, Apt 103, Farmington Hills, MI 48336 | 2014-08-22 |
| 1184038341 | Therapeutic Advantage LLC | Occupational Therapist | 30903 W 10 Mile Rd Ste B, Farmington Hills, MI 48336 | 2014-06-16 |
| 1952727257 | Takara Orum | Social Worker | 21399 Tulane Ave, Apt. 301, Farmington Hills, MI 48336 | 2014-03-11 |
| Find all providers in zip 48336 | ||||
| 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 |
|---|---|---|---|---|
| 1891255998 | Lucian I. Lupas | Physician Assistant | 21734 Albion Ave, Farmington Hills, MI 48336-5604 | 2019-03-23 |
| 1275909509 | Stacy Waack | Physician Assistant | 23160 Halsted Rd Apt 123, Farmington Hills, MI 48335-3753 | 2015-08-20 |
| 1629455993 | Stephen Cupp | Physician Assistant | 31235 Floralview Dr N Apt 205, Farmington Hills, MI 48331-5848 | 2015-05-06 |
| 1255739587 | Daniel John Hurley | Physician Assistant | 31555 W 14 Mile Rd Ste 103, Farmington Hills, MI 48334-1286 | 2014-12-18 |
| 1104266758 | Ashley Anne Geiger | Physician Assistant | 37000 Grand River Ave Ste 120, Farmington Hills, MI 48335-2868 | 2013-06-27 |
| 1780971408 | Lindsay Mccracken Shunia | Physician Assistant | 30000 Northwestern Highway, Farmington Hills, MI 48334 | 2011-07-01 |
| 1932421252 | Chaim L Sigler | Physician Assistant | 29476 Cove Creek Ln, Farmington Hills, MI 48334-2400 | 2010-03-01 |
| 1952379984 | Tiffany Michelle Sakhleh | Physician Assistant | 27555 Middlebelt Road, Associates In Neurology, Pa-c, Farmington Hills, MI 48334 | 2006-03-08 |
| 1275522807 | Toni L Malec | Physician Assistant | 28100 Grand River Ave Ste 206, Farmington Hills, MI 48336-5969 | 2005-10-17 |
| 1952961641 | Anahit Movsesyan | Physician Assistant | 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335-2868 | 2019-06-16 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48336 |
Please comment or provide details below to improve the information on LYNNE FRANCES DIETERLE.
| 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.