CARRIE LEIGH RUPE (NPI# 1386153724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386153724 |
| Entity Type | Individual |
| Full Name | CARRIE LEIGH RUPE |
| Other Name | CARRIE LEIGH CUBBERLY |
| Credential | MPAS |
| Practice Address |
36622 Five Mile Rd Ste 202 Livonia MI 48154-1900 |
| Mailing Address |
4240 Corey Cir Ann Arbor MI 48103-9476 |
| Practice Telephone | 7346552692 |
| Mailing Telephone | 2089716412 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601009462 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA60794994 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20920 Sr 410 E Ste 110, Bonney Lake, WA 983916302 | 2538459585 | |
| 44555 Woodward Ave Ste 505, Pontiac, MI 483415039 | 2488583505 |
| Street Address |
36622 FIVE MILE RD STE 202 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942439336 | Charles Jaiyeoba | Internal Medicine | 36622 Five Mile Rd Ste 202, Livonia, MI 48154-1900 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| 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 |
|---|---|---|---|---|
| 1063027977 | Mary Zhen | Physician Assistant | 31083 Fargo St, Livonia, MI 48152-1745 | 2020-09-09 |
| 1861013120 | Nicole Salloum | Physician Assistant | 36167 Meadowbrook St, Livonia, MI 48154-5128 | 2020-04-28 |
| 1710528955 | Shane O'donohue | Physician Assistant | 20114 Mayfield St, Livonia, MI 48152-1303 | 2019-09-30 |
| 1568029791 | Simona Zavedyuk | Physician Assistant | 15055 Hubbard St Apt 34, Livonia, MI 48154-3581 | 2019-05-22 |
| 1003342411 | Jennifer Gracia Villella | Physician Assistant | 9555 Middlebelt Rd, Livonia, MI 48150-3009 | 2017-05-04 |
| 1497121610 | Bradley Coon | Physician Assistant | 36222 5 Mile Rd, Livonia, MI 48154 | 2015-08-12 |
| 1801233614 | Donnell Anthony Gemus Jr. | Physician Assistant | 11502 Middlebelt Rd, Livonia, MI 48150 | 2013-06-03 |
| 1902045891 | Aimee Ruth Lamb | Physician Assistant | 18608 Farmington Rd, Livonia, MI 48152-3261 | 2009-02-17 |
| 1083733810 | Theresa M Sanford | Physician Assistant | 19900 Haggerty Road, Livonia, MI 48152-1054 | 2007-03-29 |
| 1114005550 | Diane M Collin | Physician Assistant | 1990 Haggerty Rd, Livonia, MI 48152-1054 | 2006-11-02 |
| Find all providers in LIVONIA | ||||
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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.