MR. EUGENE A PRESTON (NPI# 1134225550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134225550 |
| Entity Type | Individual |
| Full Name | MR. EUGENE A PRESTON |
| Credential | PA-C |
| Practice Address |
3800 Hollywood Rd Saint Joseph MI 49085-8510 |
| Mailing Address |
17511 Hepler St South Bend IN 46635-1831 |
| Practice Telephone | 2694282552 |
| Practice Fax Number | 2694282943 |
| Mailing Telephone | 5742766248 |
| Mailing Fax Number | 2694282943 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002633 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3800 HOLLYWOOD RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-8510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843469 | David Ralph Halstead | Podiatrist | 3800 Hollywood Rd, Suite 103, Saint Joseph, MI 49085-8510 | 2005-10-04 |
| 1649440231 | Mukund R Shah Md Plc | Pediatrics | 3800 Hollywood Rd, Suite 102, Saint Joseph, MI 49085-8510 | 2008-03-10 |
| 1821201500 | Lake Michigan Nephrology, L.l.c | Specialist | 3800 Hollywood Rd, Suite 104, Saint Joseph, MI 49085-8510 | 2007-05-08 |
| 1891907770 | Katherine Westin Kwon | Internal Medicine | 3800 Hollywood Rd, Suite 104, Saint Joseph, MI 49085-8510 | 2007-05-04 |
| 1366587354 | Royalton Foot and Ankle Assoc | Durable Medical Equipment & Medical Supplies | 3800 Hollywood Rd, Suite 103, Saint Joseph, MI 49085-8510 | 2007-02-20 |
| 1629113618 | Royalton Foot and Ankle Assoc | Durable Medical Equipment & Medical Supplies | 3800 Hollywood Rd, Suite 103, Saint Joseph, MI 49085-8510 | 2007-02-20 |
| 1013086446 | Mukund Shah | Pediatrics | 3800 Hollywood Rd, Suite 102, Saint Joseph, MI 49085-8510 | 2006-11-07 |
| 1649362799 | Daniel W Brash | Internal Medicine | 3800 Hollywood Rd, Suite 104, Saint Joseph, MI 49085-8510 | 2006-09-28 |
| 1891887964 | Oliver Chambers Songlingco | Internal Medicine | 3800 Hollywood Rd, Suite 104, Saint Joseph, MI 49085-8510 | 2006-09-28 |
| 1578509683 | Royalton Foot & Ankle Associates PC 17 | Podiatrist | 3800 Hollywood Rd, Ste. #103, Saint Joseph, MI 49085-8510 | 2006-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063635035 | David E Chalupa | Physician Assistant | 3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085-9151 | 2007-04-10 |
| 1902448525 | Colin Knue | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2019-10-15 |
| 1881052843 | Anupam Jha | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2016-02-05 |
| 1831401181 | Alexis M Izumi | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2010-07-01 |
| 1770656324 | Arleen C. Lawson Willey | Physician Assistant | 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 | 2006-11-15 |
| 1295747525 | William T Makovic II | Physician Assistant | 3903 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2006-08-13 |
| 1164430740 | Amy L Horner | Physician Assistant | 1419 Village Dr, Saint Joseph, MO 64506-2459 | 2006-08-03 |
| 1750343695 | Timothy Pat Clary | Physician Assistant | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2006-04-05 |
| 1649244245 | Cory J Schrick | Physician Assistant | 3107 Frederick Ave, Saint Joseph, MO 64506-2911 | 2006-02-13 |
| 1013980804 | Brandan L Sigrist | Physician Assistant | 3107 Frederick Ave, Saint Joseph, MO 64506-2911 | 2006-02-10 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on MR. EUGENE A PRESTON.
| 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.