WILLIAM CARTER VALLIN (NPI# 1629005525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629005525 |
| Entity Type | Individual |
| Full Name | WILLIAM CARTER VALLIN |
| Credential | PA C |
| Practice Address |
1414 West Fair Avenue Suite 342 Marquette MI 49855 |
| Practice Telephone | 9062253870 |
| Practice Fax Number | 9062253975 |
| Mailing Telephone | 9062253870 |
| Mailing Fax Number | 9062253975 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001472 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 970031185 | 01 |
| Street Address |
1414 WEST FAIR AVENUE SUITE 342 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826542 | James L Christiansen Md PC | Pediatrics | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-08 |
| 1386897395 | Robert Charles Dellangelo | Ophthalmology | 1414 West Fair Avenue, Ste 347, Marquette, MI 49855 | 2008-11-04 |
| 1285662015 | David Arvo Pesola | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-29 |
| 1407892995 | Curtis Charles Marder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1414 West Fair Avenue, Suite 342, Marquette, MI 49855 | 2006-06-21 |
| 1093750085 | John Michael Pap | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-17 |
| 1730123183 | Gary Merle Friesen | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| 1255375614 | Thomas Dale Legalley | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| 1073557435 | Nelson Eric Gencheff | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| 1588608947 | Gail Peters Brayden | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1518279462 | Larry Buege | Physician Assistant | 126 Ridgewood Dr, Marquette, MI 49855-9336 | 2010-07-08 |
| 1255523486 | Jason Joseph Vayre | Physician Assistant | 3096 Island Beach Rd, Marquette, MI 49855-2023 | 2007-08-12 |
| 1972511533 | Victoria N Asmus | Physician Assistant | 1414 W Fair Ave Ste 190, Marquette, MI 49855-5406 | 2006-08-03 |
| 1417999673 | Emily Twichell Lambert | Physician Assistant | 580 W. College Ave, Emergency Department, Marquette, MI 49855 | 2006-06-12 |
| 1255939500 | Ashley Barbara Veale | Physician Assistant | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-10-09 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1548786205 | Nicole Melissa Nolan | Physician Assistant | 1414 W Fair Ave Ste 201, Marquette, MI 49855-5406 | 2017-08-15 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| Find all providers in MARQUETTE | ||||
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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.