SUPREET BAINS (NPI# 1528554052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528554052 |
| Entity Type | Individual |
| Full Name | SUPREET BAINS |
| Credential | MD |
| Practice Address |
505 N Jackson St Jackson MI 49201-1266 |
| Mailing Address |
205 N East Ave Jackson MI 49201-1753 |
| Practice Telephone | 5177485500 |
| Practice Fax Number | 5177809286 |
| Mailing Telephone | 5172053998 |
| Mailing Fax Number | 5172057050 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4301115506 | MI | Student, Health Care |
| Street Address |
505 N JACKSON ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357055 | Miraflor Reyes | Pediatrics | 505 N Jackson St, Jackson, MI 49201-1266 | 2005-06-28 |
| 1205441193 | Alexis Roe | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-09-09 |
| 1760004824 | Heather Rae Shoffstall Mcalvey | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-05-12 |
| 1003456955 | Karen Lizeth Hernandez Martinez | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-01-08 |
| 1720552078 | Leon Puttler | Psychologist | 505 N Jackson St, Jackson, MI 49201-1266 | 2019-01-18 |
| 1265918924 | Jenna Prater | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-16 |
| 1467938449 | Jaskarandeep Singh | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-13 |
| 1215423744 | Gurpinderjit Virk | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1053807578 | Mahad Rayale | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1922594456 | Asma Aziz | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1578176053 | Breanna Christina Wade | Student in an Organized Health Care Education/Training Program | 1647 Robinson St Apt B, Jackson, MS 39209-6424 | 2020-08-25 |
| 1730798240 | Taylor Michael Smith | Student in an Organized Health Care Education/Training Program | 21 Windfield Cv, Jackson, TN 38305-9778 | 2020-07-30 |
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1922620855 | Madison K Heine | Student in an Organized Health Care Education/Training Program | Univ. of Mississippi Medical Center, School of Dentistry, Jackson, MS 39216-3921 | 2020-05-14 |
| 1083236210 | Juvell Nicole Burris | Student in an Organized Health Care Education/Training Program | 802 Lakeland Dr Apt 104, Jackson, MS 39216-4613 | 2020-05-11 |
| 1316569742 | Monieca Michelle Mcnair | Student in an Organized Health Care Education/Training Program | 635 Nakoma Dr, Jackson, MS 39206-3335 | 2020-05-07 |
| 1760011480 | Kandice Bailey | Student in an Organized Health Care Education/Training Program | 915 Bellevue Pl, Jackson, MS 39202-2702 | 2020-04-04 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on SUPREET BAINS.
| 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.