CHERESSA RAQUEL HAMM (NPI# 1528596558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528596558 |
Entity Type | Individual |
Full Name | CHERESSA RAQUEL HAMM |
Credential | PA-C |
Practice Address |
1235 Industrial Dr Ste 1 Saline MI 48176-1742 |
Mailing Address |
3315 Syckelmoore St Trenton MI 48183-3570 |
Practice Telephone | 7349448000 |
Mailing Telephone | 4199667891 |
Enumeration Date | 2017-06-04 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008264 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3145 W Clark Rd Ste 401, Ypsilanti, MI 481971120 | 7345285700 |
Street Address |
1235 INDUSTRIAL DR STE 1 |
City | SALINE |
State | MI |
Zip Code | 48176-1742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093291171 | Mariah Lewis | Dietitian, Registered | 123 N Ann Arbor St, Saline, MI 48176 | 2018-07-12 |
1801321310 | Jennifer Simms-coffey | Social Worker | 7330 East Michigan Ave, Saline, MI 48176 | 2017-04-23 |
1922357540 | Stacy Lyn Buckingham | Social Worker | 135 E Bennett St Ste 21, Saline, MI 48176 | 2012-08-29 |
1669605705 | Quantum Physical Therapy - Pittsfield | Physical Therapist | 6180 W Michigan Avenue, Saline, MI 48176 | 2009-08-24 |
1306074133 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 7000 East Michgan Ave., Saline, MI 48176 | 2009-07-01 |
1912142126 | Joribet Med Equipment Inc. | General Practice | 525 E Michigan Ave, #414, Saline, MI 48176 | 2008-12-03 |
1912152497 | Susan A Labovich | Physical Therapist | 6180 W. Michigan Avenue, Saline, MI 48176 | 2008-11-25 |
1477703957 | Brooke L Sharp | Chiropractor | 137a E. Michigan Ave, Saline, MI 48176 | 2008-09-22 |
1376739920 | Asha Jane Kinra | Dentist | 146 South Industrial Dr., Saline, MI 48176 | 2007-09-18 |
1295951523 | James Kevin Hicks | Pharmacist | Busch's Pharmacy, 565 E. Michigan Ave, Saline, MI 48176 | 2007-04-17 |
Find all providers in zip 48176 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
Find all providers with the same taxonomy |
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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.