JORDAN MARIE ATTISHA


Address: 17800 Newburgh Rd, Livonia, MI 48152-2700
Phone: 7344649540

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601008850 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI PHYSICIAN ASSISTANT 5601008850 01
CONTROLLED SUBSTANCE- 2 5315095708 01

Office Location

Street Address 17800 NEWBURGH RD
City LIVONIA
State MI
Zip Code 48152-2700

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LIVONIA
Zip Code 48152

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Dataset Information

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.

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