ABBY ALYSSE GASKELL


Address: 710 Kenmoor Ave Se, Ste. 100, Grand Rapids, MI 49546-2302
Phone: 6169549800

ABBY ALYSSE GASKELL (NPI# 1356777098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356777098
Entity Type Individual
Full Name ABBY ALYSSE GASKELL
Credential P.A.
Practice Address 710 Kenmoor Ave Se
Ste. 100
Grand Rapids
MI 49546-2302
Mailing Address 4948 Kimball Ave Se
Kentwood
MI 49508-4871
Practice Telephone 6169549800
Practice Fax Number 6169541724
Mailing Telephone 6168288219
Enumeration Date 2013-09-25
Last Update Date 2017-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 710 KENMOOR AVE SE
STE. 100
City GRAND RAPIDS
State MI
Zip Code 49546-2302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235138397 Martin J Bury Specialist 710 Kenmoor Ave Se, Suite 100, Grand Rapids, MI 49546-2379 2005-07-20
1992142624 Jeremy Robert Veenema Pediatrics 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2013-06-04
1164785887 Ann Carol Swagman Registered Nurse 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546 2012-06-18
1124332606 Intervention Insights Inc. Clinic/Center 710 Kenmoor Ave Se, Ste 120, Grand Rapids, MI 49546-2379 2010-07-27
1033442231 Christopher Ross Russo Anesthesiology 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-09-08
1508092164 Joshua Suderman Anesthesiology 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-06-09
1164664082 Javery Pain Institute PC Pain Medicine 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2009-03-25
1154509768 Linda Lou Feighner Nurse Practitioner 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2008-02-06
1932227915 Western Michigan Pediatrics, PC Pediatrics 710 Kenmoor Ave Se, Suite 110, Grand Rapids, MI 49546-2379 2007-03-27
1871632323 Ruth Ann Brintnall Nurse Practitioner 710 Kenmoor Ave Se, Suite 200, Grand Rapids, MI 49546-2379 2007-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437762986 Amanda Mae Ostrom Speech-Language Pathologist 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 2020-08-25
1063075562 Kelly Lynn Ibarra Counselor 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 2019-04-19
1891257036 Jessica Matthews LLC Counselor 4127 Embassy Drive Se, Grand Rapids, MI 49546 2019-04-05
1326518531 Neah Morgan Technician 4220 Burton St Se, Grand Rapids, MI 49546 2018-11-29
1316430267 Michael John Benskey Case Manager/Care Coordinator 4065 Saladin St Se, Grand Rapids, MI 49546 2018-06-14
1679062772 Smile Cascade, P.C. Clinic/Center 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 2018-05-03
1720583289 Jeromy Krogman Counselor 826 Parchment Drive Se, Grand Rapids, MI 49546 2018-03-27
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1689176133 Kelly Pines Physical Therapist 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 2018-03-01
1467971440 Deanna Elizabeth Saenz Social Worker 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 2017-09-12
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093028441 Lonna Petronella Van Ast Physician Assistant 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 2010-07-14
1285681536 Susan G Laham Physician Assistant 1425 Michigan St Ne, Suite D, Grand Rapids, MI 49503-2027 2006-05-30
1891768065 Paul Loh Physician Assistant 100 Michigan St Ne, Mc 103, Suite 8830, Grand Rapids, MI 49503-2560 2006-02-08
1366439432 Michael Lee Bills Physician Assistant 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 2005-10-04
1285633172 Adam J Geller Physician Assistant 1300 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2029 2005-07-21
1649787128 Corey John Koll Physician Assistant 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2018-01-05
1811439763 Danielle Susan Douglass Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-09
1982078515 Laura E Stevenson Physician Assistant 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2015-11-19
1932570975 Neurosurgery Health Services Plc Physician Assistant 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 2015-10-16
1427437177 Ian Gary Mcbain Physician Assistant 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 2015-05-28
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Competitor

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City GRAND RAPIDS
Zip Code 49546

Improve Information

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Dataset Information

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.

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