OKSANA LIDKE (NPI# 1427512425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427512425 |
| Entity Type | Individual |
| Full Name | OKSANA LIDKE |
| Practice Address |
248 Washington Ave Bay City MI 48708-5848 |
| Mailing Address |
15441 Oak Point Dr Spring Lake MI 49456-2189 |
| Practice Telephone | 9898925664 |
| Mailing Telephone | 2312465252 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
4704290342NSA181 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
248 WASHINGTON AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217979 | Jeffrey Theodore Vangelderen | Pediatrics | 248 Washington Ave, Suite A, Bay City, MI 48708-5848 | 2005-07-07 |
| 1619334828 | Laurisa Cummings | Social Worker | 248 Washington Ave, Bay City, MI 48708-5848 | 2016-01-19 |
| 1902972748 | Childrens Medical Group of Saginaw Bay Pllc | Pediatrics | 248 Washington Ave, Suite A, Bay City, MI 48708-5848 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438996 | Donna Marie Hammond | Nurse Practitioner | 248 Washington Ave Ste A, Bay City, MI 48708-5848 | 2005-09-20 |
| 1710586094 | Erin Courtney Ryman | Nurse Practitioner | 1407 Avenue H, Bay City, TX 77414-3529 | 2020-10-19 |
| 1356825442 | Laura Elizabeth Whiteside | Nurse Practitioner | 2110 16th St Ste 4, Bay City, MI 48708-7609 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991061 | Sarah Elizabeth Barber | Nurse Practitioner | 12918 Lake Point Pass, Van Buren Twp, MI 48111-2243 | 2020-10-27 |
| 1730700881 | Kelsey Olinik | Nurse Practitioner | 22200 Barclay Dr, Novi, MI 48374-3874 | 2020-04-29 |
| 1467080705 | Jessica Nicole Heichel | Nurse Practitioner | 7729 Brass Creek Ct, Dexter, MI 48130-9384 | 2020-03-31 |
| 1114550506 | Katlyn Roberts | Nurse Practitioner | 60160 E 8 Mile Rd, South Lyon, MI 48178-9768 | 2020-02-13 |
| 1093351595 | Emily Janina Jamett | Nurse Practitioner | 31815 Southfield Rd Ste 10, Beverly Hills, MI 48025-5471 | 2019-11-20 |
| 1508410747 | Clorissa Diedrich | Nurse Practitioner | 829 N Center Ave Ste 130, Gaylord, MI 49735-1684 | 2019-07-25 |
| 1255895355 | Jessica Lynn Kata | Nurse Practitioner | 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI 48236-2857 | 2019-01-23 |
| 1467934679 | Anita Lynn Riddle | Nurse Practitioner | 100 W. Vanburen Street, Battle Creek, MI 49017 | 2018-09-04 |
| 1285120634 | Alexandra Danko | Nurse Practitioner | 5500 Auto Club Dr Ste 160, Dearborn, MI 48126-2779 | 2018-07-09 |
| 1417442617 | Shelby Fredricks | Nurse Practitioner | 1205 S Mission St Ste 4, Mount Pleasant, MI 48858-3939 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.