MR. DERRICK J. JAUSS (NPI# 1427218668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427218668 |
| Entity Type | Individual |
| Full Name | MR. DERRICK J. JAUSS |
| Credential | PAC |
| Practice Address |
1015 S Washington Ave Saginaw MI 48601-2556 |
| Mailing Address |
1900 Columbus Ave Bay City MI 48708-6831 |
| Practice Telephone | 9897543349 |
| Practice Fax Number | 9897551365 |
| Mailing Telephone | 9898943000 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005196 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1015 S WASHINGTON AVE |
| City | SAGINAW |
| State | MI |
| Zip Code | 48601-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485831 | Adebambo Mustapha Kadri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1015 S Washington Ave, Saginaw, MI 48601 | 2005-08-25 |
| 1891316055 | Andrea Odell | Nurse Practitioner | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2020-04-29 |
| 1730691213 | Catherine Vanbocxlaer | Nurse Practitioner | 1015 S Washington Ave, Saginaw, MI 48601 | 2017-10-24 |
| 1659795334 | Susan Becker | Nurse Practitioner | 1015 S Washington Ave, Saginaw, MI 48601 | 2014-02-14 |
| 1659701233 | Jodi Hurren | Nurse Practitioner | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2013-11-19 |
| 1467711861 | Naveed Akhtar | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2012-05-07 |
| 1467736132 | Ascension St. Mary's Hospital | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2011-09-29 |
| 1346543410 | Ascension St. Mary's Hospital | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2010-12-13 |
| 1184950701 | Valley Infectious Disease PC | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2009-11-02 |
| 1104056290 | Shrinivas Kambali | Internal Medicine | 1015 S Washington Ave, Suite D, Saginaw, MI 48601-2556 | 2009-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629570197 | Amanda Lynn Clothier | Occupational Therapist | 800 S Washington, Saginaw, MI 48601 | 2018-03-01 |
| 1891206959 | The Young Mens Christian Association of Saginaw | Health Educator | 1915 Fordney St., Saginaw, MI 48601 | 2017-10-17 |
| 1457860330 | Thassa Antwinette Ervin | Nurse's Aide | 2918 Arlington Dr, Saginaw, MI 48601 | 2017-09-23 |
| 1790200053 | Deana Marie Warner | Occupational Therapy Assistant | 2454 Madsen Rd., Saginaw, MI 48601 | 2017-08-08 |
| 1821522459 | Home Care Central Inc | Home Health | 4789 Janes Road, Saginaw, MI 48601 | 2017-04-20 |
| 1194199497 | Demartez Lamar Couch | Contractor | 1474 Chatham Dr., Saginaw, MI 48601 | 2015-11-24 |
| 1831568997 | First Choice Staffing Agency, LLC | Hospice Care, Community Based | 339 S. 25th St., Saginaw, MI 48601 | 2015-09-18 |
| 1801212204 | Marla Katherine Price | Dietitian, Registered | 800 S. Washington, St. Marys of Michigan, Saginaw, MI 48601 | 2014-03-10 |
| 1346591328 | Lance Louis-john Redwantz | Dietitian, Registered | 1522 Janes Street, Saginaw, MI 48601 | 2012-10-01 |
| 1386900785 | Mark Dennis Szczepanski | Social Worker | 1040 Towerline Rd, Saginaw, MI 48601 | 2012-04-10 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051575 | Nichole Marie Shuff | Physician Assistant | 2130 Marshall Ct, Saginaw, MI 48602-3351 | 2018-11-09 |
| 1013223866 | Lindsey Pilling | Physician Assistant | 900 Cooper Ave, Suite .3100, Saginaw, MI 48602-5182 | 2010-08-30 |
| 1710146675 | Shelly Rae Klein | Physician Assistant | 900 Cooper Ave, Suite 4100, Saginaw, MI 48602-5182 | 2008-06-05 |
| 1457496978 | Sheila Wing | Physician Assistant | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2007-02-21 |
| 1881739407 | Jon Schwarz | Physician Assistant | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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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.