TINA M CROOK (NPI# 1285659953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285659953 |
| Entity Type | Individual |
| Full Name | TINA M CROOK |
| Credential | PA-C |
| Practice Address |
4170 Cedar Bluff Dr. Petoskey MI 49770 |
| Mailing Address |
4170 Cedar Bluff Dr Petoskey MI 49770-9600 |
| Practice Telephone | 2314872230 |
| Practice Fax Number | 2314876172 |
| Mailing Telephone | 2314872230 |
| Mailing Fax Number | 2314876172 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004367 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHSYICIAN ASSISTANT LICEN | 5601004367 | 01 |
| Street Address |
4170 CEDAR BLUFF DR. |
| City | PETOSKEY |
| State | MI |
| Zip Code | 49770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851622542 | Deanna Lynn Geisler | Physician Assistant | 4170 Cedar Bluff Dr., Petoskey, MI 49770-9600 | 2010-01-20 |
| 1669598744 | Murray Adrian Cotter | Dermatology | 4170 Cedar Bluff Dr., Petoskey, MI 49770-9600 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231985 | Olivia Michelle Seaman | Pharmacist | 1301 U.S. 31 N. Hwy, Petoskey, MI 49770 | 2019-08-22 |
| 1649733148 | Harbor Hall, Inc. | Clinic/Center | 302 Orchard Ridge Drive, Petoskey, MI 49770 | 2019-04-11 |
| 1053802942 | Devin Hueston | Dentist | 231 State St Ste 3, Petoskey, MI 49770 | 2018-05-25 |
| 1720585037 | Jacob Kenneth Tracy | Counselor | 410 E Lake Street, Suite 100, Petoskey, MI 49770 | 2018-04-12 |
| 1013424191 | Timothy Robert La Gasse | Nurse Practitioner | 401 Connable Ave, Petoskey, MI 49770 | 2018-01-10 |
| 1609303676 | Shauna Sue Stark | Nurse Practitioner | 560 W Mitchell St Ste 505, Petoskey, MI 49770 | 2017-05-22 |
| 1053851519 | Maureen Todd | Counselor | 703 Emmet St, Petoskey, MI 49770 | 2017-03-03 |
| 1457719239 | Hufford Vision & Eye Care, PC | Optometrist | 560 West Mitchell, Suite 214, Petoskey, MI 49770 | 2016-02-08 |
| 1053779439 | Kaylyn Schiemann | Specialist/Technologist | 1980 Maxwell Rd, Petoskey, MI 49770 | 2016-02-01 |
| 1669839130 | Stieber Pediatric Dentistry Pllc | Clinic/Center | 1605 Us 131 Highway, Petoskey, MI 49770 | 2016-01-28 |
| Find all providers in zip 49770 | ||||
| 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 |
|---|---|---|---|---|
| 1952949810 | Colin Brennan Knipper | Physician Assistant | 560 W Mitchell St Ste 125, Petoskey, MI 49770-2276 | 2019-12-11 |
| 1265689392 | Heather Lynn Ferber | Physician Assistant | 116 W. Mitchell St., Petoskey, MI 49770-8369 | 2008-08-20 |
| 1417974197 | Sharon Sierzputowski | Physician Assistant | 1080 Hager Dr, Petoskey, MI 49770-8774 | 2006-07-17 |
| 1235130576 | Carolyn Marie Wiese | Physician Assistant | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 | 2005-08-09 |
| 1265071211 | Whitney Marie Warner | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2019-12-21 |
| 1669840450 | Kelsey Terese Mcconnell | Physician Assistant | 416 Connable Ave, Petoskey, MI 49770-2212 | 2015-09-10 |
| 1841691656 | Katelyn June Blohm | Physician Assistant | 560 W Mitchell St Ste M40, Petoskey, MI 49770-2278 | 2014-09-11 |
| 1750782991 | Paul Cunningham | Physician Assistant | 416 Connable Ave, Petoskey, MI 49770-2212 | 2014-09-08 |
| 1740520980 | Chelsea Navarro | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2357 | 2013-02-26 |
| 1851622542 | Deanna Lynn Geisler | Physician Assistant | 4170 Cedar Bluff Dr., Petoskey, MI 49770-9600 | 2010-01-20 |
| Find all providers in PETOSKEY | ||||
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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.