MR. BRANDON ARTHUR LUEDTKE (NPI# 1518475730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518475730 |
| Entity Type | Individual |
| Full Name | MR. BRANDON ARTHUR LUEDTKE |
| Credential | PA |
| Practice Address |
3085 Hallmark Ct Ste 1 Saginaw MI 48603-6803 |
| Mailing Address |
4732 Swaffer Rd Millington MI 48746-9116 |
| Practice Telephone | 9899960566 |
| Practice Fax Number | 9894012876 |
| Mailing Telephone | 9894845667 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008544 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3085 HALLMARK CT STE 1 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-6803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606098 | Cynthia Lynn Mai | Nurse Practitioner | 3085 Hallmark Ct Ste 1, Saginaw, MI 48603-6803 | 2020-07-13 |
| 1346898228 | Deanna L Dubay | Nurse Practitioner | 3085 Hallmark Ct Ste 1, Saginaw, MI 48603-6803 | 2019-09-03 |
| 1225684202 | Nicholas Tripp Lazurka | Psychiatry & Neurology | 3085 Hallmark Ct Ste 1, Saginaw, MI 48603-6803 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841773371 | Evan Daniel Mccann | Physician Assistant | 5400 Mackinaw Rd Ste 2300, Saginaw, MI 48604-8211 | 2018-09-11 |
| 1902350192 | Elizabeth C Troxell | Physician Assistant | 612 E Bailey Boswell Rd Ste 200, Saginaw, TX 76131-3571 | 2016-08-05 |
| 1982957288 | Saginaw Community Health Center | Physician Assistant | 320 S 4th Ave, Saginaw, MI 48607-1602 | 2012-10-24 |
| 1538268271 | Ryan Patrick Murtha | Physician Assistant | 800 Cooper Ave Ste 4, Saginaw, MI 48602-5371 | 2006-09-21 |
| 1396754404 | Amanda M Goodwin | Physician Assistant | 5483 Gratiot Road, Saginaw, MI 48638-6037 | 2006-08-07 |
| 1285622050 | Christopher Brian Cummings | Physician Assistant | 1522 Janes St., Janes St. Community Health Center, Saginaw, MI 48601 | 2005-10-06 |
| 1053957548 | Jean Noel Esch | Physician Assistant | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2019-11-20 |
| 1972060598 | Mallory Litwiller | Physician Assistant | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2019-03-01 |
| 1245795343 | Colin David Wilson | Physician Assistant | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2019-02-04 |
| 1487120242 | Tracey Lynn Looby | Physician Assistant | 3085 Hallmark Ct, Saginaw, MI 48603 | 2018-10-19 |
| Find all providers in SAGINAW | ||||
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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.