KRISTINE A CONONICO (NPI# 1245260710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245260710 |
| Entity Type | Individual |
| Full Name | KRISTINE A CONONICO |
| Credential | PA |
| Practice Address |
1221 South Dr Mt Pleasant MI 48858-3258 |
| Practice Telephone | 9897726700 |
| Mailing Telephone | 9897726700 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601004397 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1221 SOUTH DR |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845072 | Amy Jo Gregory | Nurse Practitioner | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-09-09 |
| 1386254563 | Joseph Yi Zhou | Student in an Organized Health Care Education/Training Program | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2020-08-03 |
| 1255850111 | Emergency Physician Associates of Michigan PC | Emergency Medicine | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2017-09-12 |
| 1386178457 | Hesham Gayar, Md, PC | Specialist | 1221 South Dr, Morey Cancer Center Radiation Dept, Mt Pleasant, MI 48858-3257 | 2017-04-17 |
| 1942756325 | Ashley Lynn Mathew | Nurse Practitioner | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2016-08-26 |
| 1639562358 | Kevin Surface | Internal Medicine | 1221 South Dr, Mt Pleasant, MI 48858 | 2015-03-05 |
| 1285023184 | Mclaren Emergency Services PC | Emergency Medicine | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2015-01-15 |
| 1740549179 | Central Michigan Community Hospital Radiation Oncology | Radiology | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2012-05-04 |
| 1356648828 | David Caraballo | Registered Nurse | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2011-02-18 |
| 1013235159 | Kyle Gilde | Anesthesiology | 1221 South Dr, Mt Pleasant, MI 48858-3257 | 2010-05-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821399106 | Jena W. Nickles | Physician Assistant | 180 Wingo Way, Suite 301, Mt Pleasant, SC 29464-1810 | 2010-11-03 |
| 1497819221 | Leigh Watrobski Daley | Physician Assistant | 180 Wingo Way, Suite 301, Mt Pleasant, SC 29464-1810 | 2006-12-19 |
| 1033146444 | Athena M Helinski | Physician Assistant | 1201 South Dr, Ste 352, Mt Pleasant, MI 48858-3256 | 2006-06-28 |
| 1447211206 | Adele R Comite | Physician Assistant | 180 Wingo Way Ste 304, Mt Pleasant, SC 29464-1812 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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| City | MT PLEASANT |
| Zip Code | 48858 |
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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.