JAY SWANSON (NPI# 1649681651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649681651 |
| Entity Type | Individual |
| Full Name | JAY SWANSON |
| Credential | PA |
| Practice Address |
80 68th St Se Grand Rapids MI 49548-6980 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163918242 |
| Practice Fax Number | 6163918317 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007019 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346265675 | Jay V Swanson | Family Medicine | 1425 S Greenfield Rd #101, 101, Mesa, AZ 85206-5529 | 2006-07-13 |
| 1225643174 | Jay Jackson Swanson | Counselor | 1845 Grandstand Pl, Elgin, IL 60123-6603 | 2020-09-08 |
| 1750644191 | Jay Richard Swanson | Registered Nurse | 191 N Main St, Wellsville, NY 14895-1150 | 2012-06-20 |
| 1811166614 | Jay Ivor Swanson | Dentist | 901 Medical Park Dr, Effingham, IL 62401-2191 | 2008-02-26 |
| Street Address |
80 68TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-6980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529562 | Spectrum Health Hospitals | Clinic/Center | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2005-09-22 |
| 1033746565 | Samantha Nicole Lubbers | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-03-25 |
| 1912531054 | Christof Charles Muller | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-27 |
| 1477185718 | Austin James Redick | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-05 |
| 1770114266 | George Michael Mcconnell | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-02-03 |
| 1245861251 | Holly Elizabeth Mullen | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2020-01-29 |
| 1417596008 | Jennifer Nicole Lehman | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-12-30 |
| 1538705660 | Mavjuda Saydazamova | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-11-25 |
| 1396398236 | Marlee Jayne Bogema | Nurse Practitioner | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-07-19 |
| 1013472695 | Micah Nahum Foster | Physician Assistant | 80 68th St Se, Grand Rapids, MI 49548-6980 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| 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 |
|---|---|---|---|---|
| 1609473198 | Rachel M. Graziano | Physician Assistant | 18 Lowell Ave Ne, Grand Rapids, MI 49503-3760 | 2020-10-07 |
| 1811537269 | Joseph Salvatore Giovannucci | Physician Assistant | 145 Michigan St Ne Ste 2230, Grand Rapids, MI 49503-2562 | 2020-01-14 |
| 1326685686 | Mitchell Lebel | Physician Assistant | 932 Fulton St E Unit 1, Grand Rapids, MI 49503-3565 | 2019-12-05 |
| 1326680331 | Emily Wallace | Physician Assistant | 1661 Philadelphia Ave Se, Grand Rapids, MI 49507-2251 | 2019-10-10 |
| 1124688197 | Leeann Marie Kuehn | Physician Assistant | 218 Warren Ave Se, Grand Rapids, MI 49506-1582 | 2019-06-20 |
| 1770057549 | Shelby Elizabeth Hunt | Physician Assistant | 100 Michigan St Ne # Mc9017, Grand Rapids, MI 49503-2560 | 2019-01-15 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1174029094 | Katrina Ann Brummel | Physician Assistant | 555 Midtowne St Ne Ste 110, Grand Rapids, MI 49503-5731 | 2018-03-30 |
| 1902312994 | Aaron Michaud | Physician Assistant | 301 Barclay Ave Ne, Grand Rapids, MI 49503 | 2017-12-28 |
| 1538687215 | Sonia Nicola | Physician Assistant | 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 | 2017-09-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
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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.