DENNIS H KORDISH (NPI# 1396229159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396229159 |
| Entity Type | Individual |
| Full Name | DENNIS H KORDISH |
| Credential | PA |
| Practice Address |
3901 Stonegate Park Ste 300 Saint Joseph MI 49085-9136 |
| Practice Telephone | 2694084265 |
| Practice Fax Number | 2695566020 |
| Mailing Telephone | 2694084265 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008777 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601008777 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3901 STONEGATE PARK STE 300 |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-9136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063771087 | Nicole Alexis Phillips | Plastic Surgery | 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085-9136 | 2012-05-10 |
| 1811416449 | Sheena Yvonne Lader | Physician Assistant | 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085-9136 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| 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 |
|---|---|---|---|---|
| 1821272402 | Angela J Blomgren | Physician Assistant | 3950 Hollywood Rd Ste 210, Saint Joseph, MI 49085-9158 | 2007-12-19 |
| 1053918748 | Katlyn Slowik | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-10-06 |
| 1205454402 | Alexis Kristina Welsh | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-14 |
| 1275150344 | Daniel Davenport | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-06 |
| 1184255473 | Audrey Postma | Physician Assistant | 5210 N Belt Hwy, Saint Joseph, MO 64506-1211 | 2020-01-27 |
| 1386115897 | Sarah Kathryn Anderson | Physician Assistant | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2018-12-09 |
| 1861975476 | Kelly Schultz | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2018-09-10 |
| 1245710417 | Emma K Fishnick | Physician Assistant | 183 Peace Blvd, Saint Joseph, MI 49085-9146 | 2018-08-17 |
| 1053829937 | Hilary Beyerlein | Physician Assistant | 300 E Maiden Ln, Saint Joseph, MI 49085-8516 | 2018-01-13 |
| 1902319239 | Aaron Daniel Tyner | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-11-08 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
Please comment or provide details below to improve the information on DENNIS H KORDISH.
| 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.