SARA C FUKUZAWA


Address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
Phone: 2488985000

SARA C FUKUZAWA (NPI# 1619315728) 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) 1619315728
Entity Type Individual
Full Name SARA C FUKUZAWA
Credential PA-C
Practice Address 3601 W 13 Mile Rd
Royal Oak
MI 48073-6712
Mailing Address 7324 Southwest Fwy 1550
Houston
TX 77074-2053
Practice Telephone 2488985000
Mailing Telephone 2489533706
Enumeration Date 2013-06-11
Last Update Date 2015-09-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
5601006688 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3601 W 13 MILE RD
City ROYAL OAK
State MI
Zip Code 48073-6712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437155538 Cheryl A Grain Nurse Practitioner 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 2005-06-23
1023617735 Kevin Wilson Curtis Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-22
1164020939 Chelsea Cloke Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-14
1073111258 Jaimie Danno Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-11
1447857883 Pamela Ann Boyd Nurse Practitioner 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-10-08
1528675618 Riya Kaur Kalra Pediatrics 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-23
1174139612 Kostiantyn Romaniv Internal Medicine 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-21
1538775325 Adam L Hardy Occupational Therapist 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-17
1164038964 Patricia W Choi Pharmacy 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-09-17
1598377004 Medical Service Companies Durable Medical Equipment & Medical Supplies 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2020-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891306114 Spine and Joint Surgical Institute of Michigan, LLC Clinic/Center 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 2020-08-11
1528679081 Activo Physical Therapy, LLC Clinic/Center 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 2020-08-10
1265057624 Olga Romina Gomez Rojas Internal Medicine 3607 W 13 Mile Rd, Royal Oak, MI 48073 2020-06-11
1598389785 Devika Aggarwal Internal Medicine 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 2020-06-03
1831713064 Michael Morelli Physical Medicine & Rehabilitation Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 2020-06-03
1134741895 Kamil Sardarli Internal Medicine Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 2020-05-15
1245850171 Dema Fawaz Emergency Medicine Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 2020-04-21
1235771049 Semaan Dentistry Pllc Dentist 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 2019-10-14
1013560473 Muhammad Waqas Pediatrics Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 2019-07-24
1346804135 Matthew M Astolfi Orthopaedic Surgery 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 2019-04-26
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609214972 Jennifer Lynn Krishnan Physician Assistant 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 2013-06-10
1740646447 Deborah Kathleen Nobani Physician Assistant 30575 Woodward Ave, Royal Oak, MI 48073 2016-01-11
1174606461 Amanda Leslie-anne Williams Physician Assistant 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2006-10-23
1154396158 Michael Thomas Coraci Physician Assistant 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2006-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841835303 Gerard M Lefebvre Jr. Physician Assistant 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 2019-11-08
1548611023 Michael Scott Schaeffer II Physician Assistant 58070 Montego Dr, New Hudson, MI 48165-9735 2016-06-27
1700248176 Katilyn Kohl Physician Assistant 3990 John R St Ste 4905, Detroit, MI 48201-2018 2016-03-24
1881052363 Surgical Assist, Plc Physician Assistant 4409 Gaylord Dr, Troy, MI 48098-4458 2016-01-29
1710342134 Evan Reid Vandenbosch Physician Assistant 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 2015-12-30
1619368008 Matthew Eisen Physician Assistant 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 2015-02-06
1093028441 Lonna Petronella Van Ast Physician Assistant 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 2010-07-14
1669707170 Luke Thomas Dillon Physician Assistant 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 2009-10-16
1912139544 Richard Lawrence Burgett Sr. Physician Assistant 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 2009-08-15
1881822187 Shea Mace Physician Assistant 6799 West Grand Blvd, Detroit, MI 48202 2009-06-24
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Competitor

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City ROYAL OAK
Zip Code 48073

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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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