DEVON EILEEN GAC (NPI# 1558812768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558812768 |
| Entity Type | Individual |
| Full Name | DEVON EILEEN GAC |
| Credential | PA |
| Practice Address |
24345 Harper Ave Saint Clair Shores MI 48080-1285 |
| Practice Telephone | 5865633300 |
| Practice Fax Number | 5865633313 |
| Mailing Telephone | 5865633300 |
| Mailing Fax Number | 5865633313 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008000 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24345 HARPER AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-1285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587100 | Florence Arabia P Acebedo | Nurse Practitioner | 24345 Harper Ave, Saint Clair Shores, MI 48080-1285 | 2019-09-12 |
| 1871072546 | Meagan Torrey Smoyer | Nurse Practitioner | 24345 Harper Ave, Saint Clair Shores, MI 48080-1285 | 2018-08-13 |
| 1124347521 | Julie Vedua | Physical Therapist | 24345 Harper Ave, Saint Clair Shores, MI 48080-1285 | 2010-05-25 |
| 1588981153 | Kamelia Leandra Wise | Physical Therapist | 24345 Harper Ave, Saint Clair Shores, MI 48080-1285 | 2010-04-22 |
| 1932129319 | Advanced Physical Medicine, P.C. | Physical Medicine & Rehabilitation | 24345 Harper Ave, Saint Clair Shores, MI 48080-1231 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720330285 | Stacy Ann Sharpe | Physician Assistant | 22840 Pleasant St, Saint Clair Shores, MI 48080-1948 | 2012-10-09 |
| 1609928985 | Karen P Isopi | Physician Assistant | 28730 Harper Ave, Saint Clair Shores, MI 48081-1250 | 2007-01-17 |
| 1053820639 | Brittany Morrell | Physician Assistant | 22790 Harper Ave, Saint Clair Shores, MI 48080-1831 | 2017-09-26 |
| 1245332618 | Scott N Lee | Physician Assistant | 21000 E 12 Mile Rd, Suite #100, Saint Clair Shores, MI 48081-1116 | 2006-09-05 |
| 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 | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on DEVON EILEEN GAC.
| 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.