AMANDA MATUSIK (NPI# 1548548993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548548993 |
| Entity Type | Individual |
| Full Name | AMANDA MATUSIK |
| Credential | PA-C |
| Practice Address |
34208 Van Dyke Ave Sterling Heights MI 48312-4647 |
| Practice Telephone | 5865547136 |
| Practice Fax Number | 5868839694 |
| Mailing Telephone | 5865547136 |
| Mailing Fax Number | 5868839694 |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007420 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | TC021 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHYSICIAN ASSISTANT STATE LICENSE | 5601007420 | 01 |
| Street Address |
34208 VAN DYKE AVE |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48312-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063664563 | Premier Services of Michigan LLC | Clinic/Center | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2008-10-15 |
| 1891339552 | Tressa Ellen Wesserling | Licensed Practical Nurse | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2019-11-05 |
| 1295196079 | Lechia A Williams | Registered Nurse | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2016-03-08 |
| 1679934426 | Alexis Reamer | Counselor | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2016-03-08 |
| 1023479870 | April Thompkins | Registered Nurse | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2016-03-08 |
| 1336513498 | Sterling Heights Treatment Services, LLC | Clinic/Center | 34208 Van Dyke Ave, Suite 200, Sterling Heights, MI 48312-4647 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
| 1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
| 1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
| 1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
| 1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
| 1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
| 1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
| 1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
| Find all providers in zip 48312 | ||||
| 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 |
|---|---|---|---|---|
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1427673342 | Christa Jackowicz | Physician Assistant | 13978 Breezy Dr, Sterling Heights, MI 48313-2813 | 2020-06-16 |
| 1942825229 | Kailyn Angelakos | Physician Assistant | 2650 Woodford Dr, Sterling Heights, MI 48310-6934 | 2020-06-11 |
| 1467075630 | Rhiannon Rose Bailey | Physician Assistant | 37098 Camelot Dr Apt 8, Sterling Heights, MI 48312-2454 | 2020-05-22 |
| 1518517309 | Fadi Essak | Physician Assistant | 39684 Forbes Dr, Sterling Heights, MI 48310-2508 | 2019-09-13 |
| 1285291138 | Carina Kiriazis | Physician Assistant | 44344 Dequindre Rd Ste 480, Sterling Heights, MI 48314-1042 | 2019-05-28 |
| 1346806692 | Raghda Haithem Hanna | Physician Assistant | 38074 Douglas Dr, Sterling Heights, MI 48310-2828 | 2019-05-13 |
| 1083184816 | Juana Gasso | Physician Assistant | 43355 Vigus Ct, Sterling Heights, MI 48314-4542 | 2018-12-05 |
| 1609345461 | Sarah Elizabeth Gavin | Physician Assistant | 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314-1707 | 2018-11-21 |
| 1790134252 | Kaila Thelen-hartman | Physician Assistant | 44344 Dequindre Rd Ste 340, Sterling Heights, MI 48314-1040 | 2016-06-06 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48312 |
Please comment or provide details below to improve the information on AMANDA MATUSIK.
| 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.