KELLY SUE EDDY (NPI# 1144580986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144580986 |
| Entity Type | Individual |
| Full Name | KELLY SUE EDDY |
| Credential | COTA/L |
| Practice Address |
1673 Allendale Dr Saginaw MI 48638-4457 |
| Practice Telephone | 9897917054 |
| Mailing Telephone | 9897917054 |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2012-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 5202004388 | MI | Other Service Providers |
| Street Address |
1673 ALLENDALE DR |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760956734 | Cody Allen Sweatland | Contractor | 3504 Church St, Saginaw, MI 48604-2143 | 2019-01-14 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1154743839 | Carolyn Wehyee | Contractor | 8617 Gray Shale Dr, Saginaw, TX 76179-4378 | 2014-01-14 |
| 1811142086 | Shane Wesley Clemens | Contractor | 7609 Albert Rd, Saginaw, MN 55779-9676 | 2008-12-01 |
| 1154944528 | Thomas Woahloe | Contractor | 8617 Gray Shale Dr, Saginaw, TX 76179-4378 | 2020-05-20 |
| 1255707220 | Carobel Healthcare Services | Contractor | 8617 Gray Shale Dr, Saginaw, TX 76179-4378 | 2015-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1740888122 | Mosobalaje I Adewole | Contractor | 22448 Hallcroft Trl, Southfield, MI 48034-5498 | 2020-10-16 |
| 1689272833 | Michael Onwuegbuna | Contractor | 4057 Radcliff Dr, Canton, MI 48188-7236 | 2020-10-10 |
| 1366075053 | David Begley | Contractor | 4286 Welch Rd, Attica, MI 48412-9394 | 2020-02-20 |
| 1174155709 | Barbara S Kosten | Contractor | 7622 Collins Rd, Fenwick, MI 48834-9535 | 2020-02-11 |
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1700443033 | Payroll & Accounting Services LLC | Contractor | 20600 Eureka Rd Ste 220, Taylor, MI 48180-6337 | 2019-05-22 |
| 1659934669 | Jeffrey Paul Cates | Contractor | 826 W 11 Mile Rd, Madison Heights, MI 48071-3102 | 2019-04-16 |
| 1073073516 | Simba Mujuru | Contractor | 7115 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3655 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
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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.