TRAVIS RYAN GUEST (NPI# 1528444833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528444833 |
| Entity Type | Individual |
| Full Name | TRAVIS RYAN GUEST |
| Credential | PA-C |
| Practice Address |
8501 Meadow Crk Rockford MI 49341 |
| Mailing Address |
100 Michigan St Ne # Mc-845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677884 |
| Mailing Telephone | 6163918242 |
| Mailing Fax Number | 6163918317 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601007436 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8501 MEADOW CRK |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032709 | Philip E Henderson | Internal Medicine | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2005-06-13 |
| 1740849611 | Diane Marie Vancamp | Pharmacist | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2019-06-13 |
| 1790299253 | Stephanie Anne Vander Velde | Physician Assistant | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2017-11-20 |
| 1477072700 | Dulcie Yancharas | Social Worker | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2017-09-19 |
| 1437692415 | Deborah St Pierre | Nurse Practitioner | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2016-11-23 |
| 1033569587 | Amber Gall | Nurse Practitioner | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2016-06-15 |
| 1235511668 | Caesy Lewis Yarling | Neuromusculoskeletal Medicine & OMM | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2015-06-22 |
| 1982086302 | Matthew Bottke | Family Medicine | 8501 Meadow Crk, Rockford, MI 49341 | 2015-06-22 |
| 1346621356 | Tristale Williams | Social Worker | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2015-06-16 |
| 1184011207 | Kaili Ball | Social Worker | 8501 Meadow Crk, Rockford, MI 49341-7524 | 2015-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003307463 | Alexander Whitney | Physician Assistant | 1055 Featherstone Rd Ste C, Rockford, IL 61107-5904 | 2018-05-22 |
| 1356885479 | Daniel Phalin | Physician Assistant | 5666 E. State St, Rockford, IL 60656 | 2016-12-08 |
| 1295722411 | Kristin N. Rindt | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-10-03 |
| 1033746573 | Erin Ashleigh Donahue | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-03-25 |
| 1932741717 | Jacob Dalton Boehm | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-10-12 |
| 1801369236 | Antasia M Kersch | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-01-08 |
| 1447729413 | Kelsey Michelle Jebb | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2018-11-19 |
| 1982118287 | Jeremy Brunner | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2017-11-22 |
| 1104101823 | Douglas Alan Blazer | Physician Assistant | 3475 S Alpine Rd, Rockford, IL 61109-2604 | 2011-10-13 |
| 1922383769 | Jordan Vold | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2011-10-12 |
| Find all providers in ROCKFORD | ||||
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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.