JULIE WALTERS LIPA (NPI# 1154760650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154760650 |
| Entity Type | Individual |
| Full Name | JULIE WALTERS LIPA |
| Other Name | JULIE CAMPBELL WALTERS |
| Credential | PA-C |
| Practice Address |
26025 Lahser Rd 2nd Floor Southfield MI 48033-2606 |
| Practice Telephone | 2487039408 |
| Mailing Telephone | 2487039408 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006660 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1154760650 | 05 |
| Street Address |
26025 LAHSER RD 2ND FLOOR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497736771 | Thomas J Ditkoff | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 | 2005-11-14 |
| 1679073191 | Vanita Upendra Koepke | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2018-02-21 |
| 1427449727 | Julie Berris | Occupational Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2015-02-09 |
| 1891092904 | Stephanie Danielle Springer | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2011-02-25 |
| 1679883201 | Kelly Maureen Pseres | Registered Nurse | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2010-10-17 |
| 1346569886 | Diana C Lengel | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-05-24 |
| 1609106871 | Chandra T Charlton | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-01-11 |
| 1598091704 | Jennifer Carol Rohrborn | Nurse Practitioner | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2009-10-22 |
| 1073769162 | Daniel Park | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-08-08 |
| 1740445170 | Jeffrey Walter Devitt Jr. | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1083231252 | Kaitlin Elizabeth Flaherty | Physician Assistant | 30130 Northgate Ln, Southfield, MI 48076-1063 | 2020-07-02 |
| 1265090047 | Kathy Thi Y Nhi Pham | Physician Assistant | 29689 Marshall St, Southfield, MI 48076-5845 | 2019-06-05 |
| 1013488535 | Rachel Moss | Physician Assistant | 26400 W 12 Mile Rd Ste 170, Southfield, MI 48034-1753 | 2018-12-10 |
| 1760853147 | Reema Sutariya | Physician Assistant | 24901 Northwestern Hwy Ste 214, Southfield, MI 48075-2205 | 2015-10-12 |
| 1760861983 | Erin Anne Hartsmith | Physician Assistant | 29169 Southfield Rd, Southfield, MI 48076 | 2015-05-20 |
| 1871921171 | Megann Jobson | Physician Assistant | 21700 Northwestern Hwy Ste 600, Southfield, MI 48075-4912 | 2013-10-23 |
| 1376970905 | Justin Scott Remsing | Physician Assistant | 28405 Brooks Ln, Southfield, MI 48034-2090 | 2013-09-27 |
| 1396004974 | Winona Chatman Smith | Physician Assistant | 19050 Coral Gables St, Southfield, MI 48076-4431 | 2012-05-16 |
| 1457485237 | Thelma Howard | Physician Assistant | 4000 Town Center, Suite 370, Southfield, MI 48075 | 2007-03-15 |
| 1740367036 | Kristi A Tesarz | Physician Assistant | 26206 W 12 Mile Rd Ste 202, Southfield, MI 48034-8500 | 2006-11-01 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.