LAURA GINOZA (NPI# 1407883283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407883283 |
| Entity Type | Individual |
| Full Name | LAURA GINOZA |
| Credential | PA-C |
| Practice Address |
18263 E 10 Mile Rd Suite D Roseville MI 48066-5805 |
| Mailing Address |
36115 Schoolcraft Rd Livonia MI 48150-1216 |
| Practice Telephone | 7344640887 |
| Practice Fax Number | 7344020254 |
| Mailing Telephone | 7344640887 |
| Mailing Fax Number | 7344020254 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005561 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA 01248 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 480F37288 | 01 |
| Street Address |
18263 E 10 MILE RD SUITE D |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272261 | Majeed A Paduvana | Internal Medicine | 18263 E 10 Mile Rd, Suite E, Roseville, MI 48066-5805 | 2005-08-12 |
| 1770029621 | Sabah Internal Medicine Pllc | Internal Medicine | 18263 E 10 Mile Rd, Ste # D, Roseville, MI 48066-5805 | 2017-01-17 |
| 1750792388 | Mohammad Sunbulli Md Pllc | Internal Medicine | 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | 2014-05-16 |
| 1730431123 | Betty C Caldwell | Nurse Practitioner | 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | 2012-10-09 |
| 1841571544 | Mohammad Sunbulli | General Practice | 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | 2011-09-08 |
| 1326360504 | Suham Dara Salman | Nurse Practitioner | 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | 2010-02-16 |
| 1932397478 | Sentinel Health Staffing | Radiology | 18263 E 10 Mile Rd, Roseville, MI 48066-5805 | 2007-10-10 |
| 1447457734 | Emad Alatassi Md, P.C. | Internal Medicine | 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | 2007-06-29 |
| 1649494717 | Norman C Holton | Physician Assistant | 18263 E 10 Mile Rd, Roseville, MI 48066-5805 | 2007-04-12 |
| 1063423176 | Wahed Ishaqsei | Internal Medicine | 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| 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 |
|---|---|---|---|---|
| 1538781372 | Jacob Adam Novick | Physician Assistant | 1346 Stonebridge Way, Roseville, CA 95661-5457 | 2020-05-14 |
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1689212482 | Meghan Licciardello | Physician Assistant | 300 Harding Blvd Ste 213, Roseville, CA 95678-2474 | 2019-12-12 |
| 1710541016 | Khine Mira Tian | Physician Assistant | 2780 Snelling Ave N Ste 304, Roseville, MN 55113-7125 | 2019-04-23 |
| 1093287161 | Michael Eugeniuscz Froniewski | Physician Assistant | 1544 Eureka Rd Ste 160, Roseville, CA 95661-3092 | 2018-12-29 |
| 1528547106 | Steven Charles Frank | Physician Assistant | 11801 Go for Broke Rd, Roseville, CA 95678-7055 | 2018-08-14 |
| 1710392196 | Linda Ly Luong | Physician Assistant | 781 Pleasant Grove Blvd Ste 170, Roseville, CA 95678 | 2014-06-24 |
| 1487995924 | Judy Garcia Tumber | Physician Assistant | 8727 Wentworth Ct, Roseville, CA 95747-6370 | 2013-03-07 |
| 1598049249 | Ann Barbeiro | Physician Assistant | 8207 Sierra College Blvd Ste 500, Roseville, CA 95661-9407 | 2011-09-29 |
| 1164686937 | Julie Hunn | Physician Assistant | 729 Sunrise Ave Ste 900, Roseville, CA 95661-4525 | 2008-07-10 |
| Find all providers in ROSEVILLE | ||||
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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.