EVAN LOUKUSA (NPI# 1427678978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427678978 |
| Entity Type | Individual |
| Full Name | EVAN LOUKUSA |
| Practice Address |
1414 W Fair Ave Ste 24 Marquette MI 49855-2675 |
| Practice Telephone | 9064491010 |
| Mailing Telephone | 9064491188 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4351046811 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1414 W FAIR AVE STE 24 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992167241 | Superior Walk-in Center, PC | Family Medicine | 2382 Us Highway 41 W, Marquette, MI 49855-2456 | 2016-03-25 |
| 1871851766 | Patrick A Huffer | Family Medicine | 1414 W Fair Ave Ste 36, Marquette, MI 49855-2675 | 2012-04-27 |
| 1366710816 | Jonathan Robertson | Family Medicine | 2250 Us Highway 41 S, Ste B, Marquette, MI 49855-9119 | 2011-12-12 |
| 1285851840 | Emily Frances Godec | Family Medicine | 5087 Us 41 S, Marquette, MI 49855-9001 | 2007-04-18 |
| 1457578049 | Mary Lee Tobin-anderson | Family Medicine | 5089 Us Highway 41 South, Marquette, MI 49855 | 2007-04-18 |
| 1356402762 | Jeffrey Karr | Family Medicine | 3045 Wright St, Marquette, MI 49855-2675 | 2006-12-12 |
| 1518929579 | Gregory Sulik | Family Medicine | 607 N 3rd St, Marquette, MI 49855-3519 | 2006-04-05 |
| 1245221076 | David Michael Luoma | Family Medicine | 1401 Presque Isle Avenue, Northern Michigan University Vielmetti Health Center, Marquette, MI 49855 | 2005-11-01 |
| 1811988959 | Michelle R Storms | Family Medicine | 1401 Presque Isle Ave, Attn: Health Center, Marquette, MI 49855-2818 | 2005-10-28 |
| 1316946411 | Matthew Scott Doughty | Family Medicine | 6044 Us 41 S, Suite 3, Marquette, MI 49855-9090 | 2005-07-20 |
| Find all providers in MARQUETTE | ||||
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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.