SAMUEL JAMES STURDEVANT (NPI# 1215547781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215547781 |
| Entity Type | Individual |
| Full Name | SAMUEL JAMES STURDEVANT |
| Credential | PA |
| Practice Address |
363 Fremont St Ste 101 Battle Creek MI 49017-3395 |
| Mailing Address |
402 N Madison St Marshall MI 49068-1147 |
| Practice Telephone | 2692458350 |
| Mailing Telephone | 2695793627 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
363 FREMONT ST STE 101 |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49017-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883784 | Lauren Gressley | Nurse Practitioner | 363 Fremont St Ste 101, Battle Creek, MI 49017 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448958 | Carmel T Ryan | Speech-Language Pathologist | 654 Wagner Dr, Battle Creek, MI 49017 | 2018-12-16 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1841799749 | Carolyn R Boyle | Social Worker | 2 West Michigan Ave. Suite 300, Battle Creek, MI 49017 | 2018-02-06 |
| 1962928879 | Battle Creek Family Chiropractic PC | Chiropractor | 32 Van Buren W, Battle Creek, MI 49017 | 2017-08-22 |
| 1598292146 | Melissa Elizabeth Kellogg | Counselor | 2 West Michigan Ave., Suite 300, Battle Creek, MI 49017 | 2017-05-15 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1770822462 | Mindy Newhouse-oisten | Psychologist | 140 West Michigan Avenue, Battle Creek, MI 49017 | 2013-01-31 |
| 1033403118 | Charlotte G Andreasen | Nurse Practitioner | 70 Michigan Ave. West, Neurology of Battle Creek, Battle Creek, MI 49017 | 2011-06-06 |
| 1841504727 | Louise Ann Vollwiler | Optometrist | 12737 Cotton Lake Road, Sam's Club Store No.6429, Battle Creek, MI 49017 | 2010-08-03 |
| 1174855704 | The Advocates | Community/Behavioral Health | 30 Van Buren St E, Battle Creek, MI 49017 | 2010-02-08 |
| Find all providers in zip 49017 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699743872 | Courtney L Converse | Physician Assistant | 7070 E Dr N, Battle Creek, MI 49014-8562 | 2006-03-14 |
| 1013918945 | Heather E Vanschoick-overbeek | Physician Assistant | 2 Heritage Oak Ln, Battle Creek, MI 49015-4250 | 2005-08-02 |
| 1477857324 | Susan Jennifer Godair | Physician Assistant | 2 Heritage Oak Ln, Battle Creek, MI 49015-4250 | 2011-01-07 |
| 1629241385 | Bethany Jayne Huffman | Physician Assistant | 3620 Capital Ave Sw, Suite B, Battle Creek, MI 49015-9393 | 2008-04-02 |
| 1992819759 | Gabriel Bravo | Physician Assistant | 2 Heritage Oak Ln, Battle Creek, MI 49015-4250 | 2006-08-18 |
| 1831203694 | Lori Smith | Physician Assistant | 2 Heritage Oak Ln, Battle Creek, MI 49015-4250 | 2006-08-18 |
| 1336253103 | Troy Stutz | Physician Assistant | 2 Heritage Oak Ln, Battle Creek, MI 49015-4250 | 2006-08-18 |
| 1114980158 | Carrie L Palmer | Physician Assistant | 2855 Capital Ave Sw, Battle Creek, MI 49015-6105 | 2006-04-10 |
| 1033187265 | Amber Corneillie | Physician Assistant | 7070 E Dr N, Battle Creek, MI 49014-8562 | 2006-03-14 |
| 1356336325 | Lora E. Krone | Physician Assistant | 363 Fremont St, Suite 208, Battle Creek, MI 49017-3389 | 2005-09-15 |
| Find all providers in BATTLE CREEK | ||||
| City | BATTLE CREEK |
| Zip Code | 49017 |
Please comment or provide details below to improve the information on SAMUEL JAMES STURDEVANT.
| 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.