MRS. JULIANA HAGELE (NPI# 1558611046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558611046 |
| Entity Type | Individual |
| Full Name | MRS. JULIANA HAGELE |
| Other Name | MRS. JULIANA FARJO |
| Credential | PA-C |
| Practice Address |
2305 Genoa Business Park Dr Suite 170 Brighton MI 48114-7004 |
| Practice Telephone | 8102998554 |
| Practice Fax Number | 8108440837 |
| Mailing Telephone | 8102998554 |
| Mailing Fax Number | 8108440837 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003233 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2305 GENOA BUSINESS PARK DR SUITE 170 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273947 | Ayad A. Farjo | Ophthalmology | 2305 Genoa Business Park Dr, Suite 250, Brighton, MI 48114-7004 | 2005-05-31 |
| 1548702087 | Darlene Demeniuk | Occupational Therapist | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2016-11-15 |
| 1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
| 1467873828 | Iha Health Services Corporation | Obstetrics & Gynecology | 2305 Genoa Business Park Dr, Suite 230, Brighton, MI 48114-7004 | 2014-01-02 |
| 1487091377 | Julie Tenckinck Sauer | Occupational Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2013-05-31 |
| 1710225412 | Kristen Elizabeth Upton | Nurse Practitioner | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2013-01-30 |
| 1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
| 1558624858 | Tracy M Olsen | Nurse Practitioner | 2305 Genoa Business Park Dr, Ste 200, Brighton, MI 48114-7004 | 2012-06-21 |
| 1053625467 | Advanced Orthopedic Specialists PC | Non-Pharmacy Dispensing Site | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2010-07-28 |
| 1093028540 | Nicole Marie Clement | Physical Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2010-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| 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 |
|---|---|---|---|---|
| 1033722822 | Natalie Miranda | Physician Assistant | 35 Henshaw St, Brighton, MA 02135-2927 | 2020-08-31 |
| 1235741067 | Karin Sampaio | Physician Assistant | 5155 Golden Eagle Pkwy, Brighton, CO 80601-8735 | 2020-08-22 |
| 1669090585 | Michael Joseph Core | Physician Assistant | 1626 Commonwealth Ave Apt 11, Brighton, MA 02135-5027 | 2020-07-07 |
| 1609434745 | Robert Connell | Physician Assistant | 36 Orkney Rd Apt 2, Brighton, MA 02135-7712 | 2019-06-04 |
| 1427533603 | John Peter Halfen Iv | Physician Assistant | 2801 Purcell St # 1, Brighton, CO 80601-3551 | 2018-10-03 |
| 1659856805 | Kelly Brianne Armstrong | Physician Assistant | 7500 Challis Rd Fl 2, Brighton, MI 48116-9416 | 2018-10-03 |
| 1538675418 | Karen K Minchow | Physician Assistant | 12000 E Big Cottonwood Canyon Rd, Brighton, UT 84121-9710 | 2017-12-14 |
| 1174068134 | Sarah Kolchinsky | Physician Assistant | 23 Egremont Rd, Apt #4, Brighton, MA 02135-7329 | 2016-12-30 |
| 1669855979 | Michelle Cummings | Physician Assistant | 1945 Commonwealth Ave, #32, Brighton, MA 02135-5963 | 2015-07-06 |
| 1891196895 | Steven Barrett | Physician Assistant | 8718 N Christine Dr, Brighton, MI 48114-4911 | 2014-09-09 |
| Find all providers in BRIGHTON | ||||
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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.