PAUL EDWARD MCKELLIP (NPI# 1104354166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104354166 |
| Entity Type | Individual |
| Full Name | PAUL EDWARD MCKELLIP |
| Credential | PA-C |
| Practice Address |
800 S Washington Ave Saginaw MI 48601-2551 |
| Mailing Address |
415 S Sheridan St Bay City MI 48708-7465 |
| Practice Telephone | 9899878000 |
| Mailing Telephone | 9894147804 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3601008197 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4599 Towne Centre Rd, Saginaw, MI 486042804 | 9894973000 |
| Street Address |
800 S WASHINGTON AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477530202 | Young H Kim | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2005-12-22 |
| 1053938969 | Jeffry Lin | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-26 |
| 1942826482 | Olivia Samoray | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-21 |
| 1376169896 | Aarthi Arab | Student in an Organized Health Care Education/Training Program | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-06-20 |
| 1598388613 | Jacqueline White-neslund | Pharmacist | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-05-22 |
| 1366063729 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-27 |
| 1205455300 | Matthew B Cabeliza | Nurse Practitioner | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-04-09 |
| 1558998989 | Precision Radiotherapy Pllc | Radiology | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2020-03-25 |
| 1609412527 | Ascension St. Mary's Hospital | Internal Medicine | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2019-11-26 |
| 1225673940 | Hospitalist Medicine Physicians of Michigan - Grand Blanc, Pllc | Internal Medicine | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
| Find all providers in zip 48601 | ||||
| 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 |
|---|---|---|---|---|
| 1841773371 | Evan Daniel Mccann | Physician Assistant | 5400 Mackinaw Rd Ste 2300, Saginaw, MI 48604-8211 | 2018-09-11 |
| 1518475730 | Brandon Arthur Luedtke | Physician Assistant | 3085 Hallmark Ct Ste 1, Saginaw, MI 48603-6803 | 2018-01-22 |
| 1902350192 | Elizabeth C Troxell | Physician Assistant | 612 E Bailey Boswell Rd Ste 200, Saginaw, TX 76131-3571 | 2016-08-05 |
| 1982957288 | Saginaw Community Health Center | Physician Assistant | 320 S 4th Ave, Saginaw, MI 48607-1602 | 2012-10-24 |
| 1538268271 | Ryan Patrick Murtha | Physician Assistant | 800 Cooper Ave Ste 4, Saginaw, MI 48602-5371 | 2006-09-21 |
| 1396754404 | Amanda M Goodwin | Physician Assistant | 5483 Gratiot Road, Saginaw, MI 48638-6037 | 2006-08-07 |
| 1285622050 | Christopher Brian Cummings | Physician Assistant | 1522 Janes St., Janes St. Community Health Center, Saginaw, MI 48601 | 2005-10-06 |
| 1053957548 | Jean Noel Esch | Physician Assistant | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2019-11-20 |
| 1972060598 | Mallory Litwiller | Physician Assistant | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2019-03-01 |
| 1245795343 | Colin David Wilson | Physician Assistant | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2019-02-04 |
| Find all providers in SAGINAW | ||||
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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.