MICHAEL D RENDER (NPI# 1134679129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134679129 |
| Entity Type | Individual |
| Full Name | MICHAEL D RENDER |
| Credential | PA-C |
| Practice Address |
1602 Military St Port Huron MI 48060-5933 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 8109829527 |
| Practice Fax Number | 8109821663 |
| Mailing Telephone | 9206637190 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2601 Coolidge Rd Ste 2, East Lansing, MI 488236361 | 5172033000 | 5172033003 |
| Street Address |
1602 MILITARY ST |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528052834 | John Michael Pelachyk | Dermatology | 1602 Military St, Port Huron, MI 48060-5933 | 2005-09-01 |
| 1801285549 | Forefront Dermatology, S.c. | Dermatology | 1602 Military St, Port Huron, MI 48060 | 2015-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| 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 |
|---|---|---|---|---|
| 1972160505 | Devon E Fenner | Physician Assistant | 750 Lakeview Ave, Port Huron, MI 48060-2104 | 2019-05-20 |
| 1093252074 | Shaun Baker | Physician Assistant | 2425 Military St Rm 2, Port Huron, MI 48060-6692 | 2017-01-27 |
| 1144578998 | Nicholas M Branch | Physician Assistant | 1231 Pine Grove Ave Ste 1a, Port Huron, MI 48060-3500 | 2012-08-28 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1770652547 | Noreen Louise Nortier | Physician Assistant | 3550 Pine Grove Ave, Port Huron, MI 48060-1944 | 2006-11-07 |
| 1518912658 | Kim Farris | Physician Assistant | 2611 Electric Ave, Suite E, Port Huron, MI 48060-6587 | 2006-05-24 |
| 1962069997 | Jacqueline Beauregard | Physician Assistant | 1222 10th Ave, Port Huron, MI 48060-3406 | 2019-05-24 |
| 1760966881 | Timothy Barkach | Physician Assistant | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2018-09-25 |
| 1851875223 | Sohaib Tariq | Physician Assistant | 2601 Electric Ave, Port Huron, MI 48060 | 2018-09-20 |
| 1285116202 | Kelsay Kristine Payton | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060 | 2018-09-06 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on MICHAEL D RENDER.
| 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.