MRS. JESSICA L UMLOR (NPI# 1265593685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265593685 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA L UMLOR |
| Other Name | MS. JESSICA L PITSCH |
| Credential | PA-C |
| Practice Address |
6100 Newport Rd Suite 100 Portage MI 49002-9235 |
| Practice Telephone | 2693434679 |
| Practice Fax Number | 2693435929 |
| Mailing Telephone | 2693434679 |
| Mailing Fax Number | 2693435929 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56010-04622 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE / PTAN | 0C96019007 | 01 |
| Street Address |
6100 NEWPORT RD SUITE 100 |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-9235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750472387 | John Thomas Gallagher | Clinical Neuropsychologist | 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 | 2006-09-27 |
| 1144835133 | Rachel Mills | Counselor | 6100 Newport Rd, Portage, MI 49002-9235 | 2020-09-15 |
| 1326436395 | Samita Shah | Physician Assistant | 6100 Newport Rd, Portage, MI 49002-9235 | 2014-12-29 |
| 1396143079 | Terrill Psychological Services Pllc | Psychologist | 6100 Newport Rd, Suite 204, Portage, MI 49002-9235 | 2014-12-12 |
| 1710393798 | Jackson Grayson & Campbell | In Home Supportive Care | 6100 Newport Rd, Suite 208, Portage, MI 49002-9235 | 2014-07-10 |
| 1407267529 | Jeff Emmer | In Home Supportive Care | 6100 Newport Rd, Suite 208, Portage, MI 49002-9235 | 2014-05-12 |
| 1922268861 | John T. Gallagher and Associates, P.l.c. | Psychologist | 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 | 2008-06-13 |
| 1225252356 | David Frank Fatzinger | Psychologist | 6100 Newport Rd, Suite 222, Portage, MI 49002-9235 | 2007-04-12 |
| 1750475695 | Paul W Wang | Dermatology | 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 | 2006-10-03 |
| 1558455311 | Amber B Matthysse | Physician Assistant | 6100 Newport Rd, Suite 100, Portage, MI 49002-9235 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1699959593 | Jennifer Anne Graslie | Physician Assistant | 2847 New Pinery Road, Portage, WI 53901-0387 | 2007-12-27 |
| 1962445080 | Autumn Nicole Hopkins | Physician Assistant | 6100 Newport Road, Suite 100, Portage, MI 49002 | 2006-06-14 |
| 1396749800 | Lucetta Lynne Lyford | Physician Assistant | 430 W. Centre Ave., Portage, MI 49024 | 2005-06-13 |
| 1932731999 | Adam D Standiford | Physician Assistant | 3000 Old Centre Rd, Portage, MI 49024-4883 | 2020-02-07 |
| 1063077055 | Dillon Via | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2019-05-06 |
| 1750876694 | Morgan Buchholz | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2018-06-23 |
| 1316466345 | Zane Stampfly | Physician Assistant | 7775 Angling Rd, Portage, MI 49024-7427 | 2017-09-11 |
| 1174050918 | Matthew Gregory Rajala | Physician Assistant | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2017-05-11 |
| 1063886505 | Pamela Bartley | Physician Assistant | 7901 Angling Rd, Portage, MI 49024-0714 | 2015-11-20 |
| Find all providers in PORTAGE | ||||
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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.