MICHELLE KRISTINE KUT (NPI# 1508916800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508916800 |
| Entity Type | Individual |
| Full Name | MICHELLE KRISTINE KUT |
| Credential | P.A.-C |
| Practice Address |
25599 Kelly Rd Suite A Roseville MI 48066-4975 |
| Practice Telephone | 5867726000 |
| Practice Fax Number | 5867727700 |
| Mailing Telephone | 5867726000 |
| Mailing Fax Number | 5867727700 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601003976 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | CD7957 | 01 |
| MI | PHYSICIAN ASST LICENSE | 5601003976 | 01 |
| MI | RAILROAD MEDICARE | CD7959 | 01 |
| Street Address |
25599 KELLY RD SUITE A |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194714980 | St Clair Cardiovascular Surgeons Plc | Internal Medicine | 25599 Kelly Rd, Ste A, Roseville, MI 48066-4975 | 2005-10-14 |
| 1699790626 | Gregory G Montpetit | Internal Medicine | 25599 Kelly Rd, Suite B, Roseville, MI 48066-4975 | 2006-07-12 |
| 1427073469 | Donald R Moore | Internal Medicine | 25599 Kelly Rd, Suite B, Roseville, MI 48066-4975 | 2006-07-12 |
| 1003805318 | Robert J Cardwell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25599 Kelly Rd, Suite A, Roseville, MI 48066-4975 | 2005-10-19 |
| 1386633766 | Louis L Rondini | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25599 Kelly Rd, Suite A, Roseville, MI 48066-4975 | 2005-10-18 |
| 1770572349 | Claude Douglas Lees | Specialist | 25599 Kelly Rd, Ste A, Roseville, MI 48066-4975 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1720141989 | Lindsey Diane Ewick | Physician Assistant | 3 Medical Plaza Drive, Suite 200, Roseville, CA 95661-0602 | 2006-12-19 |
| 1417513490 | Tatiana Mudrenko | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-05-15 |
| 1992068522 | Heidi Marin Lamel | Physician Assistant | 3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089 | 2012-06-19 |
| 1407904766 | Matthew Kurowski | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-05 |
| 1497812655 | Leanne M Preston | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-03 |
| 1750443131 | Alan Gunnar Peterson | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-12-14 |
| 1124188826 | Kelly Kristine Haws | Physician Assistant | 1600 Eureka Rd, Orthopaedics 2nd Floor, Roseville, CA 95661-3027 | 2006-12-11 |
| 1174681563 | Paul A Bakke | Physician Assistant | 1600 Eureka Rd, Orthopedics 1, Roseville, CA 95661-3027 | 2006-12-05 |
| 1124196910 | James Curtis Giddings II | Physician Assistant | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-12-01 |
| Find all providers in ROSEVILLE | ||||
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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.