JORDAN MARIE ATTISHA (NPI# 1578048138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578048138 |
Entity Type | Individual |
Full Name | JORDAN MARIE ATTISHA |
Other Name | JORDAN MARIE ZURKE |
Credential | PA-C |
Practice Address |
17800 Newburgh Rd Livonia MI 48152-2700 |
Mailing Address |
27275 Haggerty Rd Ste 500 Novi MI 48377-3635 |
Practice Telephone | 7344649540 |
Mailing Telephone | 2487416909 |
Mailing Fax Number | 2485134301 |
Enumeration Date | 2018-09-30 |
Last Update Date | 2020-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601008850 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | PHYSICIAN ASSISTANT | 5601008850 | 01 |
CONTROLLED SUBSTANCE- 2 | 5315095708 | 01 |
Street Address |
17800 NEWBURGH RD |
City | LIVONIA |
State | MI |
Zip Code | 48152-2700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386624187 | J.adam Kellman | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-18 |
1528382991 | Envision Medical Group Pllc | Clinical Medical Laboratory | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2010-03-15 |
1407076243 | Livonia Family Physicians, PC | Clinical Medical Laboratory | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2007-04-26 |
1225072002 | Isaure Eve Yates | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-06-15 |
1679544506 | Livonia Family Physicians, PC | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-30 |
1053381491 | Danielle Friedrich | Physician Assistant | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-26 |
1295705382 | Barbara Bergeski | Physician Assistant | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-23 |
1134109531 | Joann Van Oast | Physician Assistant | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-20 |
1053391342 | Paul Jackson | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-20 |
1679553465 | Thomas Selznick | Family Medicine | 17800 Newburgh Rd, Suite 103, Livonia, MI 48152-2700 | 2006-01-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
Find all providers in zip 48152 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225529027 | Angela Ilagan | Physician Assistant | 17800 Newburgh Rd Ste 103, Livonia, MI 48152-2794 | 2018-05-29 |
1902206477 | New Beginning Physical Therapy Center | Physician Assistant | 27837 7 Mile Rd, Livonia, MI 48152-3701 | 2014-09-03 |
1063461945 | Elisabeth Ann Deller | Physician Assistant | 38935 Ann Arbor Rd, Livonia, MI 48150-3354 | 2006-05-09 |
1407248537 | Candace Atisha | Physician Assistant | 37669 Pembroke Ave, Livonia, MI 48152-1050 | 2015-02-26 |
1902216591 | Vanessa Ameer Jwad | Physician Assistant | 37595 7 Mile Rd, #400, Livonia, MI 48152-1003 | 2014-05-05 |
1457782450 | Regents of The University of Michigan - Ambulatory Ctr for Vein Trtmt | Physician Assistant | 19900 Haggerty Rd, Suite 105, Livonia, MI 48152-1054 | 2013-12-02 |
1902181282 | Stephanie Kay Lafever | Physician Assistant | 37799 Professional Center Dr, Suite 105, Livonia, MI 48154-1153 | 2011-10-18 |
1780999185 | Kristi Marie Capaldi | Physician Assistant | 27550 Joy Rd, Livonia, MI 48150-4145 | 2010-08-10 |
1790911204 | Theresa Ann White | Physician Assistant | 37605 Pembroke Ave, Livonia, MI 48152-1050 | 2009-06-10 |
1952554255 | Nicole Michelle Weick | Physician Assistant | 14555 Levan Rd, Suite 311, Livonia, MI 48154-5083 | 2008-10-30 |
Find all providers in LIVONIA |
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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.