KATIE ELIZABETH WAKEMAN (NPI# 1356534572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356534572 |
Entity Type | Individual |
Full Name | KATIE ELIZABETH WAKEMAN |
Credential | PA-C |
Practice Address |
4401 N Campus Ridge Dr Suite D2000 Midland MI 48640-6112 |
Practice Telephone | 9898379280 |
Practice Fax Number | 9898379285 |
Mailing Telephone | 9898379280 |
Mailing Fax Number | 9898379285 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2009-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005012 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366580219 | Katie Hartley Wakeman | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2007-02-02 |
Street Address |
4401 N CAMPUS RIDGE DR SUITE D2000 |
City | MIDLAND |
State | MI |
Zip Code | 48640-6112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225022387 | Carlos Diola | Internal Medicine | 4401 N Campus Ridge Dr, Ste C2100, Midland, MI 48640-6112 | 2005-09-06 |
1629510953 | Samantha Bohy | Specialist/Technologist | 4401 N Campus Ridge Dr, Ste. C2000, Midland, MI 48640-6112 | 2016-11-17 |
1669712816 | Uzoamaka Anne Esan | Family Medicine | 4401 N Campus Ridge Dr, Suite D2100, Midland, MI 48640-6112 | 2013-02-26 |
1184800104 | Michael J Mischley | Psychologist | 4401 N Campus Ridge Dr, Suite C2000, Midland, MI 48640-6112 | 2008-01-22 |
1023218641 | Ann E Dull | Physical Therapist | 4401 N Campus Ridge Dr, C2000, Midland, MI 48640-6112 | 2007-07-22 |
1578774568 | Scott F Ross | Family Medicine | 4401 N Campus Ridge Dr, Suite D2100, Midland, MI 48640-6112 | 2007-05-24 |
1336360197 | Sandeep Sambrani Rao | Obstetrics & Gynecology | 4401 N Campus Ridge Dr, #b2200, Midland, MI 48640-6112 | 2007-05-01 |
1386778413 | Natalie L Kroll | Obstetrics & Gynecology | 4401 N Campus Ridge Dr, Suite B2200, Midland, MI 48640-6112 | 2007-03-14 |
1275660466 | Mary Elizabeth Geraldine Wheeldon | Registered Nurse | 4401 N Campus Ridge Dr, Ste 2450, Midland, MI 48640-6112 | 2007-02-27 |
1457425662 | Harris Weaver | Internal Medicine | 4401 N Campus Ridge Dr, Suite D2050, Midland, MI 48640-6112 | 2006-11-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
Find all providers in zip 48640 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
1790251031 | Valarie Ramirez Alcala | Physician Assistant | 3400 Andrews Hwy, Midland, TX 79703-5100 | 2018-10-14 |
1487136537 | Heather Zamarron | Physician Assistant | 4400 N Midland Dr Ste 406b, Midland, TX 79707-3388 | 2018-09-05 |
1003214511 | Laura Sonnenburg | Physician Assistant | 4214 Andrews Hwy Ste 306, Midland, TX 79703-4870 | 2014-12-15 |
1437356730 | Johnny Lynn Flitton | Physician Assistant | 3401 Greenbriar, Suite 200, Midland, TX 79707-4652 | 2007-06-29 |
1942411038 | George Roger Vaillant | Physician Assistant | 119 Steele Creek Dr, Midland, GA 31820-4597 | 2007-05-24 |
1629139555 | Julie M. Davidson | Physician Assistant | 122 North N Street, Midland, TX 79701-6409 | 2006-12-13 |
1902994999 | Meredith Leigh Letzer | Physician Assistant | 4500 N Campus Ridge Dr, Midland, MI 48640-6123 | 2006-10-11 |
1538171616 | Midland Complete Family Care and Associates | Physician Assistant | 4310 W Illinois Ave, Ste 320, Midland, TX 79703-5529 | 2006-08-13 |
1437175163 | Nanette R Paredes | Physician Assistant | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2006-07-14 |
Find all providers in MIDLAND |
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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.