MELISSA COURTNEY GASIOREK (NPI# 1316455215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316455215 |
| Entity Type | Individual |
| Full Name | MELISSA COURTNEY GASIOREK |
| Practice Address |
22250 Providence Dr Ste 705 Southfield MI 48075-6215 |
| Mailing Address |
21909 Chase Dr Novi MI 48375-4769 |
| Practice Telephone | 2485529858 |
| Practice Fax Number | 2485529510 |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39555 W 10 Mile Rd Ste 301, Novi, MI 483752950 | 2489439461 | |
| 47601 Grand River Ave Ste C202, Novi, MI 483741204 | 2484655955 | 2484654864 |
| Street Address |
22250 PROVIDENCE DR STE 705 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962705004 | Roshni Mukesh Shah | Internal Medicine | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2010-12-13 |
| 1841852951 | Beronica Esshaki | Nurse Practitioner | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2019-06-28 |
| 1144886888 | Ashley Effner | Physician Assistant | 22250 Providence Dr Ste 705, Southfield, MI 48075 | 2019-05-17 |
| 1912427345 | Harshil Anurag Patel | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2017-06-27 |
| 1659636140 | Christopher Joseph Bradley | Internal Medicine | 22250 Providence Dr Ste 705, Southfield, MI 48075-6215 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144457706 | Kimberly Lynn Cosbey | Physician Assistant | 29829 Telegraph Rd Ste 200, Southfield, MI 48034-7656 | 2009-06-22 |
| 1225057664 | Lindsay Kathryn Brown | Physician Assistant | 17515 W 9 Mile Rd Ste 340, Southfield, MI 48075-4426 | 2006-07-18 |
| 1790766509 | John Kay Nwadinobi | Physician Assistant | 29610 Southfield Rd, Ste 250, Southfield, MI 48076-2000 | 2005-11-09 |
| 1053976951 | Rafik E Mansour | Physician Assistant | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-05-06 |
| 1023461134 | Miranda Leah Katty | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2016-07-14 |
| 1255781928 | Katherine Rambeau | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2016-06-14 |
| 1447629795 | Soham Trivedi | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2015-09-16 |
| 1235366162 | James Benjiman Burdette IIi | Physician Assistant | 23999 Northwestern Hwy, Suite # 110, Southfield, MI 48075-2578 | 2009-06-18 |
| 1447485180 | Michael Allen Greene | Physician Assistant | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2009-05-26 |
| 1588818496 | Katherine Marie Mccarthy | Physician Assistant | 16001 W 9 Mile Rd, Department of Neonatology, Southfield, MI 48075-4818 | 2008-11-06 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on MELISSA COURTNEY GASIOREK.
| 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.