MRS. LOUISA RANKIN (NPI# 1205240090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205240090 |
| Entity Type | Individual |
| Full Name | MRS. LOUISA RANKIN |
| Other Name | LOUISA SHU |
| Credential | AA-C |
| Practice Address |
4100 Park Forest Dr Suite 210 Traverse City MI 49684-7331 |
| Practice Telephone | 2319355770 |
| Practice Fax Number | 2319350747 |
| Mailing Telephone | 2319355770 |
| Mailing Fax Number | 2319350747 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 7202 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 PARK FOREST DR SUITE 210 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-7331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628016 | Donald E. Kring Jr. | Anesthesiology | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2005-09-08 |
| 1346864170 | Bree Saffron | Registered Nurse | 4100 Park Forest Dr, Traverse City, MI 49684-7331 | 2020-06-08 |
| 1841708229 | Allie Jo Nave | Physician Assistant | 4100 Park Forest Dr, Traverse City, MI 49684-7331 | 2018-01-18 |
| 1114459468 | Michelle Hodges | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2017-03-28 |
| 1023551249 | Jessica Lee Hoort | Registered Nurse | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684 | 2016-11-19 |
| 1407224140 | Courtney Scruggs | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2015-09-11 |
| 1538555800 | Jordan Resseguie | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Traverse City, MI 49684-7331 | 2015-04-13 |
| 1043603764 | Mitchell Reynolds | Registered Nurse | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2015-03-05 |
| 1992103212 | Kyle Marie Cameron | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Sutie210, Traverse City, MI 49684-7331 | 2014-12-18 |
| 1578969218 | Robert Weiler Jr. | Nurse Anesthetist, Certified Registered | 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 | 2014-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454998 | Andrea Mantel | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2020-07-08 |
| 1316586381 | Keith Minbiole | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1427697499 | Alexander Linkner | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-12-23 |
| 1811541774 | Skylar Bayer | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2019-07-30 |
| 1659834562 | Kevin Sistani | Anesthesiologist Assistant | 100 Michigan St Ne, Grand Rapids, MI 49503 | 2019-04-08 |
| 1497217335 | Nicholas Simpson | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2019-04-01 |
| 1841796752 | Mason Fisher | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2018-04-02 |
| 1134645963 | Meghan Fowler | Anesthesiologist Assistant | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2017-08-14 |
| 1689046070 | Southgate Allied Anesthesia Pllc | Anesthesiologist Assistant | 13460 Fort St, Southgate, MI 48195-1138 | 2015-10-24 |
| 1578943247 | Starwood Precision Anesthesia Pllc | Anesthesiologist Assistant | 13460 Fort St, Southgate, MI 48195-1138 | 2015-06-08 |
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| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.