MS. CATHY ANN KUKULA (NPI# 1386770386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386770386 |
| Entity Type | Individual |
| Full Name | MS. CATHY ANN KUKULA |
| Credential | PA-C |
| Practice Address |
2825 Livernois Rd Troy MI 48083-1214 |
| Mailing Address |
6986 Rawling Dr Washington MI 48094-2488 |
| Practice Telephone | 2486802060 |
| Practice Fax Number | 2486802099 |
| Mailing Telephone | 5862588206 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MI56002120 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2825 LIVERNOIS RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568495208 | Henry Ford Behaviorl Health- Troy Medical Center | Clinic/Center | 2825 Livernois Rd, Troy, MI 48083-1214 | 2006-07-08 |
| 1063903581 | Maggie Hobbs | Speech-Language Pathologist | 2825 Livernois Rd, Troy, MI 48083 | 2018-05-21 |
| 1104167808 | Danelle Renae Stabel | Pediatrics | 2825 Livernois Rd, Troy, MI 48083-1214 | 2013-03-06 |
| 1316299985 | Kelly M Kolody | Social Worker | 2825 Livernois Rd, Troy, MI 48083-1214 | 2012-10-08 |
| 1023368867 | Mona Chahine | Pharmacist | 2825 Livernois Rd, Troy, MI 48083-1214 | 2012-09-19 |
| 1326257213 | Jungho Lee Kwon | Dermatology | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-05-21 |
| 1124236559 | Joseph Gerard Demsich | Pharmacist | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-05-18 |
| 1043432099 | Mary Ann Spencer | Pharmacy Technician | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-05-02 |
| 1750407953 | Henry Ford Hospital | General Acute Care Hospital | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-03-21 |
| 1326183633 | Kristine Wilhelmina Roth | Psychiatry & Neurology | 2825 Livernois Rd, Troy, MI 48083-1214 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902356454 | Elaina Diclemente | Physician Assistant | 44199 Dequindre Rd Ste 222, Troy, MI 48085-1128 | 2016-10-08 |
| 1710338090 | Megan S Hakim | Physician Assistant | 4600 Investment Dr Ste 150, Troy, MI 48098-6376 | 2016-06-28 |
| 1811390560 | Anika Webb | Physician Assistant | 160 South Railroad Street, Station Square, Troy, PA 16947-1499 | 2014-10-08 |
| 1518099340 | Lisa Denise Sowels | Physician Assistant | 306 Town Center Dr, Troy, MI 48084-1742 | 2007-03-09 |
| 1487792867 | Pamela Sutherly | Physician Assistant | 700 S Stanfield Rd Ste A, Troy, OH 45373 | 2007-02-01 |
| 1164492229 | Leigh A. Dobbs | Physician Assistant | 264 W. Maple Rd., Suite #200, Troy, MI 48084 | 2006-01-23 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1902386493 | Sara F Ruch | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2018-08-15 |
| 1376991539 | Kelsey Hilley | Physician Assistant | 2215 Burdett Ave, Samaritan Hospital, Troy, NY 12180-2466 | 2016-05-28 |
| 1487035275 | Lauren Naborczyk | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-06-17 |
| Find all providers in TROY | ||||
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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.