MRS. LOUISE ANNE JUSTUS (NPI# 1669508404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669508404 |
| Entity Type | Individual |
| Full Name | MRS. LOUISE ANNE JUSTUS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
901 Kimole Ln Adrian MI 49221-1491 |
| Practice Telephone | 5172636140 |
| Practice Fax Number | 5172656796 |
| Mailing Telephone | 5172636140 |
| Mailing Fax Number | 5172656796 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003453 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 KIMOLE LN |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624934 | Tatiana Masyk | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2005-07-22 |
| 1841535762 | Ryan Knape | Physician Assistant | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2012-12-04 |
| 1548540610 | Monica Jane Lutz | Physician Assistant | 901 Kimole Ln, B-1, Adrian, MI 49221-1491 | 2011-08-22 |
| 1003066440 | Adekoyejo B Adenuga | Pediatrics | 901 Kimole Ln, Suite B2, Adrian, MI 49221-1491 | 2008-09-23 |
| 1891953352 | Melissa Marie Baer | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2008-05-30 |
| 1841419421 | Victor Joseph Cherfan Jr. | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-04-24 |
| 1154548592 | Promedica Corporation of Michigan | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-04-19 |
| 1568581148 | Elizabeth J Szynkowski | Dietitian, Registered | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2007-03-28 |
| 1841322286 | Steven M Smolinski | Obstetrics & Gynecology | 901 Kimole Ln, Suite A-1, Adrian, MI 49221-1491 | 2007-03-12 |
| 1477689859 | Promedica Corporation of Michigan | Family Medicine | 901 Kimole Ln, Suite A-4, Adrian, MI 49221-1491 | 2007-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497942890 | Lenawee Adult & Pediatric Medicine | Physician Assistant | 3245 N Adrian Hwy Ste E, Adrian, MI 49221-1186 | 2007-09-28 |
| 1548540610 | Monica Jane Lutz | Physician Assistant | 901 Kimole Ln, B-1, Adrian, MI 49221-1491 | 2011-08-22 |
| 1699792176 | Matt Hall | Physician Assistant | 901 Kimole Ln, A-4, Adrian, MI 49221-1491 | 2006-07-17 |
| 1861490831 | Jeffrey R Osworth | Physician Assistant | 770 Riverside Ave, Suite 207, Adrian, MI 49221-1476 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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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.