MATTHEW NICHOLAS HODROSKY (NPI# 1538166616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538166616 |
Entity Type | Individual |
Full Name | MATTHEW NICHOLAS HODROSKY |
Credential | PA |
Practice Address |
5315 Elliott Dr Ste 304 Ypsilanti MI 48197-8634 |
Mailing Address |
P.o. Box 0446 24 Frank Lloyd Wright Dr. Lobby J Iha Ann Arbor MI 48106 |
Practice Telephone | 7347120655 |
Practice Fax Number | 7347120611 |
Mailing Telephone | 7347476766 |
Mailing Fax Number | 7342223100 |
Enumeration Date | 2005-07-05 |
Last Update Date | 2017-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
50002129 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601004701 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5315 ELLIOTT DR STE 304 |
City | YPSILANTI |
State | MI |
Zip Code | 48197-8634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861041998 | Jason A Miller | Nurse Practitioner | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2019-09-11 |
1679829352 | Timothy Mcglaston | Orthopaedic Surgery | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2012-07-31 |
1235490756 | Ryan Mlynarek | Orthopaedic Surgery | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197 | 2012-05-31 |
1891012746 | Leslie Ann Crowley | Physician Assistant | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2010-04-30 |
1336396225 | Thomas Michael Hearty | Orthopaedic Surgery | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2008-08-21 |
1548317811 | Jong Lee | Family Medicine | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2007-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
Find all providers in zip 48197 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
1902868482 | Magda S. Vincens | Physician Assistant | 5323 Elliott Dr, Suite #102, Ypsilanti, MI 48197-8632 | 2006-04-03 |
1639733587 | Bailey Nichole Scheich | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-04-25 |
1306329776 | Castyn Williams | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2018-09-12 |
1023509981 | Samuel John Muench | Physician Assistant | 5315 Elliott Dr Ste 102, Ypsilanti, MI 48197-8634 | 2018-05-25 |
1891012746 | Leslie Ann Crowley | Physician Assistant | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2010-04-30 |
1245563089 | Lindsey Erin Eckel | Physician Assistant | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2009-09-11 |
1861566010 | Thomas Norbert Nalley | Physician Assistant | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2006-11-20 |
1003870460 | Daniel Patrick Defer | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2006-04-13 |
1508829268 | Daniel Ernest Beaulieu | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2006-04-11 |
Find all providers in YPSILANTI |
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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.