KALEIGH WALDRON (NPI# 1376965749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376965749 |
Entity Type | Individual |
Full Name | KALEIGH WALDRON |
Credential | PA-C |
Practice Address |
1202 W Oak St Greenville MI 48838-2155 |
Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
Practice Telephone | 6167542944 |
Practice Fax Number | 6167542999 |
Enumeration Date | 2014-01-20 |
Last Update Date | 2016-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006911 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1202 W OAK ST |
City | GREENVILLE |
State | MI |
Zip Code | 48838-2155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023014982 | Mandy Joan German | Physician Assistant | 1202 W Oak St, Greenville, MI 48838-2155 | 2005-06-24 |
1750933271 | Lauren Rachel Kroeker | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2019-07-15 |
1033771191 | Zachary Lee Wagar | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2019-06-28 |
1437711520 | John Michael Jansen | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2019-06-28 |
1548755507 | Ashley Feehan | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2018-06-22 |
1275028235 | Dylan Drummond | Family Medicine | 1202 W Oak St, Greenville, MI 48838 | 2018-06-22 |
1609361666 | Colton Wolfe-sabo | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2018-06-22 |
1669859997 | Nicole Alexandra Van De Velde | Obstetrics & Gynecology | 1202 W Oak St, Greenville, MI 48838-2155 | 2015-05-06 |
1396180337 | Randi Lynn Vanocker | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2013-05-03 |
1851734099 | Abhishek Singh | Family Medicine | 1202 W Oak St, Greenville, MI 48838-2155 | 2013-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861988743 | Rachel Hoover | Specialist/Technologist | 7481 S Grow Rd, Greenville, MI 48838 | 2018-07-03 |
1043719008 | Courtney Garlanger | Physical Therapist | 2425 W Washington St Suite B, Greenville, MI 48838 | 2018-02-06 |
1487164026 | Clay Street Center | Clinic/Center | 913 S. Clay St., Greenville, MI 48838 | 2017-10-10 |
1922548296 | Maureen Myers | Occupational Therapist | 10131 Connelly Road, Greenville, MI 48838 | 2017-03-06 |
1003204371 | Todd Gerrit Cates | Physical Therapist | 1330 W. Washington, Greenville, MI 48838 | 2015-01-08 |
1285985358 | Kimberly Belle Lavender | Social Worker | 309 1/2 S Lafayette St Ste 202, Greenville, MI 48838 | 2012-09-28 |
1255619912 | Lindsay Joan Weinfurtner | Specialist | 6010 Sipperley Trl, Greenville, MI 48838 | 2011-07-29 |
1699075382 | Jenny Kay Moulds | Pharmacist | 205 South Greenville Dr. W, Greenville, MI 48838 | 2010-10-27 |
1285934471 | Alexander Edward-tapani Cribley | Pharmacist | 10772 West Carson City Road, Greenville, MI 48838 | 2010-10-22 |
1851574990 | Mary Ann Bartman | Physical Therapist | 1330 West Washington, Greenville, MI 48838 | 2007-12-12 |
Find all providers in zip 48838 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104116664 | Jennifer C Whitmire | Physician Assistant | St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 | 2011-04-18 |
1306143219 | Alexis Pierino Goss | Physician Assistant | 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 | 2011-02-13 |
1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
1205915360 | Dannie Burton Jonas | Physician Assistant | 505 Greenville Blvd Se, Greenville, NC 27858-6736 | 2006-11-02 |
1952324246 | Toni Smith-whiteeagle | Physician Assistant | 5005 Live Oak St, Greenville, TX 75402 | 2006-07-26 |
1699719682 | Gary Marc Trube | Physician Assistant | 800 Moye Blvd, Greenville, NC 27834-3777 | 2006-06-16 |
1255384335 | Dean A Schrader | Physician Assistant | 8333 Crestview Dr, Greenville, MI 48838-8133 | 2006-05-18 |
1043262983 | Katherine Johnson Anderson | Physician Assistant | 215 Halton Rd, Greenville, SC 29607-3509 | 2006-05-17 |
1891767398 | Allen J Sours Jr. | Physician Assistant | Physician's Prime Care, 3535 S. Memorial Dr. Suite C, Greenville, NC 27834-6766 | 2006-02-07 |
1053383273 | Zenith Nelson | Physician Assistant | Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-02-02 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 48838 |
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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.