CASEY KOLP


Address: 4160 John R St Ste 930, Detroit, MI 48201-2017
Phone: 3139665007

CASEY KOLP (NPI# 1235684838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235684838
Entity Type Individual
Full Name CASEY KOLP
Credential PA-C
Practice Address 4160 John R St Ste 930
Detroit
MI 48201-2017
Mailing Address 23230 Detour St
Saint Clair Shores
MI 48082-2028
Practice Telephone 3139665007
Mailing Telephone 5863061881
Enumeration Date 2016-08-24
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601007864 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4160 JOHN R ST STE 930
City DETROIT
State MI
Zip Code 48201-2017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104078617 Marc Daniel Moisi Neurological Surgery 4160 John R St Ste 930, Detroit, MI 48201 2008-10-15
1922662428 Amber Lynn Gaulden Student in an Organized Health Care Education/Training Program 4160 John R St Ste 930, Detroit, MI 48201-2017 2019-04-30
1851866396 Christopher Childers Nurse Practitioner 4160 John R St Ste 930, Detroit, MI 48201-2017 2018-10-11
1114423514 Obiageri Rita Opara Nurse Practitioner 4160 John R St Ste 930, Detroit, MI 48201-2017 2018-04-04
1184973729 Parthasarathi Chamiraju Neurological Surgery 4160 John R St Ste 930, Detroit, MI 48201 2012-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619583994 Isabella Lapuz Dela Cruz Physician Assistant 18463 Livernois Ave, Detroit, MI 48221-2254 2020-09-22
1932750684 Patrick D Wharton Physician Assistant 5053 Commonwealth St # 1s, Detroit, MI 48208-2039 2019-09-24
1942869300 Laura Dorothy Konsitzke Physician Assistant 22201 Moross Rd Ste 380, Detroit, MI 48236-2176 2019-06-10
1619419553 Erica Ellen Schweitzer Physician Assistant 4701 Saint Antoine St Ste E-510, Detroit, MI 48201-1428 2016-11-09
1992167027 Heather Michelle Sutton Physician Assistant 3901 Beaubien Drive, Detroit, MI 48201 2016-03-28
1659769107 Zhi Li Physician Assistant 22201 Moross Rd Ste 370, Detroit, MI 48236 2015-01-07
1619371564 Charlene Sharon Staff Physician Assistant 17701 Warwick St, Detroit, MI 48219-4210 2014-10-21
1245646025 Sara Gibrael Physician Assistant 259 Mack Ave # 2590, Detroit, MI 48201-2427 2014-07-01
1497076434 Mary Beth Morse Physician Assistant 4201 St. Antoine - Uhc 5d #226, University Pediatricians, Detroit, MI 48201-2153 2010-06-14
1265550487 Claudine Lilla Physician Assistant 6071 W Outer Dr Dept Of, Detroit, MI 48235-2624 2007-03-26
Find all providers in DETROIT

Competitor

Search similar providers

City DETROIT
Zip Code 48201

Improve Information

Please comment or provide details below to improve the information on CASEY KOLP.

Dataset Information

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.

Trending Searches