HALEY CRITES (NPI# 1477976363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477976363 |
| Entity Type | Individual |
| Full Name | HALEY CRITES |
| Credential | PA-C |
| Practice Address |
52375 N Main St Box 89 Mattawan MI 49071-9332 |
| Practice Telephone | 2696683348 |
| Practice Fax Number | 2696687702 |
| Mailing Telephone | 2696683348 |
| Mailing Fax Number | 2696687702 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006912 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
52375 N MAIN ST BOX 89 |
| City | MATTAWAN |
| State | MI |
| Zip Code | 49071-9332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835535 | Steve Elliot Reiman | Family Medicine | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-07-19 |
| 1598052433 | Angeli Certa | Pharmacist | 52375 N Main St, Mattawan, MI 49071-9332 | 2011-06-29 |
| 1447474267 | Bronson Lakeview Hospital | Family Medicine | 52375 N Main St, Mattawan, MI 49071-9332 | 2007-04-12 |
| 1205921251 | Jay Phillip Horwich | Orthopaedic Surgery | 52375 N Main St, Mattawan, MI 49071-9332 | 2006-10-04 |
| 1841288701 | Eric Alan Kennedy | Physician Assistant | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-10-13 |
| 1821081639 | Bronson Methodist Hospital | Pharmacy | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-08-26 |
| 1326047358 | Laura Catherine Ford | Nurse Practitioner | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617598 | Sheryl Ann Miller | Psychologist | 8570 Pq Avenue, Mattawan, MI 49071 | 2018-07-30 |
| 1568997054 | Willow Path Counseling Services | Community/Behavioral Health | 8089 Stadium Drive, Suite A, Kalamazoo, MI 49071 | 2017-04-22 |
| 1154508596 | Red Cedar Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 50762 Kiawah Trail, Suite B, Mattawan, MI 49071 | 2008-01-29 |
| 1639214794 | Rebecca Carr | Speech-Language Pathologist | 22899 Weather Vane Ct, Mattawan, MI 49071 | 2007-02-20 |
| 1891898730 | Edward I Porter | Counselor | 5500 Armstrong Road, Battle Creek Vamc, Battle Creek, MI 49071 | 2006-09-06 |
| 1376655365 | Mattawan Pharmacy | Pharmacy | 52366 N Main St, Mattawan, MI 49071-0069 | 2006-08-31 |
| 1164812491 | Sarah Mohney | Specialist/Technologist | 26402 Trestle Creek Ave, Mattawan, MI 49071-7713 | 2015-01-26 |
| 1114071487 | Shannon L Logsdon | Physical Therapist | 23200 Red Arrow Hwy Ste A, Mattawan, MI 49071-7754 | 2007-01-23 |
| 1447346036 | Kevin James Lacey | Physical Therapist | 23200 Red Arrow Hwy, A, Mattawan, MI 49071-7754 | 2006-10-04 |
| 1780002014 | Melissa Hulbert | Dental Hygienist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7754 | 2014-04-03 |
| Find all providers in zip 49071 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| 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.