DIANE M COLLIN (NPI# 1114005550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114005550 |
| Entity Type | Individual |
| Full Name | DIANE M COLLIN |
| Other Name | DIANE JURKO |
| Credential | PA |
| Practice Address |
1990 Haggerty Rd Livonia MI 48152-1054 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7344327811 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002842 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1990 HAGGERTY RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| 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 |
|---|---|---|---|---|
| 1063027977 | Mary Zhen | Physician Assistant | 31083 Fargo St, Livonia, MI 48152-1745 | 2020-09-09 |
| 1861013120 | Nicole Salloum | Physician Assistant | 36167 Meadowbrook St, Livonia, MI 48154-5128 | 2020-04-28 |
| 1710528955 | Shane O'donohue | Physician Assistant | 20114 Mayfield St, Livonia, MI 48152-1303 | 2019-09-30 |
| 1568029791 | Simona Zavedyuk | Physician Assistant | 15055 Hubbard St Apt 34, Livonia, MI 48154-3581 | 2019-05-22 |
| 1003342411 | Jennifer Gracia Villella | Physician Assistant | 9555 Middlebelt Rd, Livonia, MI 48150-3009 | 2017-05-04 |
| 1497121610 | Bradley Coon | Physician Assistant | 36222 5 Mile Rd, Livonia, MI 48154 | 2015-08-12 |
| 1801233614 | Donnell Anthony Gemus Jr. | Physician Assistant | 11502 Middlebelt Rd, Livonia, MI 48150 | 2013-06-03 |
| 1902045891 | Aimee Ruth Lamb | Physician Assistant | 18608 Farmington Rd, Livonia, MI 48152-3261 | 2009-02-17 |
| 1083733810 | Theresa M Sanford | Physician Assistant | 19900 Haggerty Road, Livonia, MI 48152-1054 | 2007-03-29 |
| 1285712638 | Brian Kilbarger | Physician Assistant | 1990 Haggerty Road, Livonia, MI 48152-1054 | 2006-11-02 |
| Find all providers in LIVONIA | ||||
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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.