KRISTIN JOY WELBOURN (NPI# 1497269781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497269781 |
| Entity Type | Individual |
| Full Name | KRISTIN JOY WELBOURN |
| Credential | PA-C |
| Practice Address |
3600 W 13 Mile Rd Royal Oak MI 48073-6711 |
| Mailing Address |
9 Woodward Heights Blvd Pleasant Ridge MI 48069-1246 |
| Practice Telephone | 2485490777 |
| Practice Fax Number | 2485495888 |
| Mailing Telephone | 2482407032 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3600 W 13 MILE RD |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265465769 | Abdul H Bahrainwala | Allergy & Immunology | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2006-07-08 |
| 1306224811 | Alexander Michael Demare | Surgery | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2015-05-16 |
| 1467885293 | Allison Barrington | Physician Assistant | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2013-08-15 |
| 1437422953 | Amy Marilyn Woodson | Physician Assistant | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2012-02-14 |
| 1275868259 | Mari Gorga | Physician Assistant | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2009-10-09 |
| 1528287240 | Mohsen Nasir | Allergy & Immunology | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2007-04-24 |
| 1942362694 | Allergy & Asthma Physicians of Royal Oak PC | Allergy & Immunology | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2006-12-15 |
| 1952326225 | Amrish K Patel | Allergy & Immunology | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2006-07-13 |
| 1033134317 | Mohamad Y Tawila | Allergy & Immunology | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2006-07-13 |
| 1871526459 | Allergy & Asthma Associates of Mi PC | Allergy & Immunology | 3600 W 13 Mile Rd, Royal Oak, MI 48073-6711 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720483670 | Tricia Campbell | Physician Assistant | 605 Helene Ave, Royal Oak, MI 48067 | 2014-11-04 |
| 1578973657 | Malisa M Burt | Physician Assistant | 127 Forest Ave, Royal Oak, MI 48067-1843 | 2014-04-29 |
| 1023130853 | Mobile Medical Consultant Pllc | Physician Assistant | 620 S Dorchester Ave, Royal Oak, MI 48067-4048 | 2007-04-04 |
| 1851493241 | Angeline A Carter | Physician Assistant | 2674 Bembridge Rd, Royal Oak, MI 48073-2921 | 2006-09-05 |
| 1922094689 | Kenneth Wayne Gahry | Physician Assistant | 5130 Coolidge Hwy, Royal Oak, MI 48073-1001 | 2005-09-27 |
| 1902443047 | Brad Vamplew | Physician Assistant | 31157 Woodward Ave, Royal Oak, MI 48073-0996 | 2019-12-09 |
| 1770124208 | Ashley Meerschaert | Physician Assistant | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-10-07 |
| 1871058065 | Zeinab Joumaa Naji | Physician Assistant | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-02-01 |
| 1982144150 | Chelsea Foster | Physician Assistant | 3577 W 13 Mile Rd, Suite 204, Royal Oak, MI 48073-6710 | 2017-03-07 |
| 1043754286 | Taylor Dillman | Physician Assistant | 1010 N Campbell Rd, Suite 3, Royal Oak, MI 48067-1570 | 2016-12-07 |
| Find all providers in ROYAL OAK | ||||
Please comment or provide details below to improve the information on KRISTIN JOY WELBOURN.
| 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.