KATHLEEN RUFFOLO (NPI# 1508412826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508412826 |
| Entity Type | Individual |
| Full Name | KATHLEEN RUFFOLO |
| Practice Address |
47601 Grand River Ave Novi MI 48374-1233 |
| Mailing Address |
427 Englewood Ave Royal Oak MI 48073-2669 |
| Practice Telephone | 7345521661 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704286622 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
47601 GRAND RIVER AVE |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431696 | Colleen Larose Miele | Pediatrics | 47601 Grand River Ave, B233, Novi, MI 48374-1233 | 2005-07-19 |
| 1821610478 | Harjot Gill | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-16 |
| 1417578147 | Sean Patrick Hohl | Registered Nurse | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-05 |
| 1952946972 | Adam C Donnellon | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-11-13 |
| 1073167532 | Candace Lee Hogrefe | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374 | 2019-08-01 |
| 1134780794 | Taylor Garland | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-25 |
| 1881253375 | Alessandra Vincenza Palazzolo | Internal Medicine | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-10 |
| 1598238172 | Lisa Hydorn | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-01-07 |
| 1558863365 | Jocelyn Cartujano Baisa | Physical Therapist | 47601 Grand River Ave, Novi, MI 48374-1233 | 2018-03-07 |
| 1417459991 | Jennifer Kay Mcdonald | Physical Therapist | 47601 Grand River Ave, Novi, MI 48374-1233 | 2018-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992519 | Amie Corr | Nurse Practitioner | 45757 Lakeview Ct Apt 17203, Novi, MI 48377-3850 | 2020-05-02 |
| 1396386215 | Carly Wilson | Nurse Practitioner | 40606 Mill Road Ct E, Novi, MI 48375-5023 | 2019-10-02 |
| 1225593726 | Daniel Woodward Mead | Nurse Practitioner | 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 | 2019-02-08 |
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1710381967 | Jonathan Woywod | Nurse Practitioner | 30178 Warley Ct, Novi, MI 48377-2193 | 2014-10-17 |
| 1558619536 | Lauren Ann Chipponeri | Nurse Practitioner | 47601 Grand River Ave Ste B229, Novi, MI 48374-1257 | 2012-08-21 |
| 1902131915 | Tamara D Millard | Nurse Practitioner | 39595 W 10 Mile Rd Ste 102, Novi, MI 48375 | 2009-10-08 |
| 1710598461 | Ann Marie Quinlan | Nurse Practitioner | 41850 W 11 Mile Rd Ste 207, Novi, MI 48375-1820 | 2020-08-14 |
| 1023641727 | Lorraine Lee Burgunder-zdravkovski | Nurse Practitioner | 26850 Providence Pkwy Ste 300, Novi, MI 48374-1259 | 2020-02-20 |
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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.