MR. MICHAEL E HAVENS


Address: 212 S Sullivan Ave, Fremont, MI 49412-1548
Phone: 6163913139

MR. MICHAEL E HAVENS (NPI# 1679824361) 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) 1679824361
Entity Type Individual
Full Name MR. MICHAEL E HAVENS
Credential RD, LD, CNSC
Practice Address 212 S Sullivan Ave
Fremont
MI 49412-1548
Mailing Address 100 Michigan St Ne
Mail Code 845
Grand Rapids
MI 49503-2560
Practice Telephone 6163913139
Practice Fax Number 6163913044
Mailing Telephone 6164866790
Mailing Fax Number 6164866702
Enumeration Date 2012-09-21
Last Update Date 2016-06-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601007732 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHAEL HAVENS

NPI Name Taxonomy Address Enumeration
1619128923 Michael Andrew Havens Pathology 6528 N Olympia Ave, Chicago, IL 60631-1520 2008-10-06
1316928955 Michael Randolph Havens Family Medicine 107 Eureka St, Batesville, MS 38606-2533 2005-11-10
1336486000 Michael J Havens Pharmacist 9621 N Us Highway 1, Sebastian, FL 32958-6363 2013-01-14

Office Location

Street Address 212 S SULLIVAN AVE
City FREMONT
State MI
Zip Code 49412-1548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629070982 Newaygo County General Hospital Association Emergency Medicine 212 S Sullivan Ave, Fremont, MI 49412-1548 2005-06-01
1447788757 Jennifer Campbell Nurse Practitioner 212 S Sullivan Ave, Fremont, MI 49412-1548 2017-05-31
1558712240 Lindsay Ann Schmiedeknecht Obstetrics & Gynecology 212 S Sullivan Ave, Fremont, MI 49412-1548 2016-06-24
1124491964 Katie Ann Vanheck Advanced Practice Midwife 212 S Sullivan Ave, Fremont, MI 49412-1548 2015-11-02
1659753101 Kelly Barcheski Internal Medicine 212 S Sullivan Ave, Fremont, MI 49412-1548 2015-06-22
1225415151 Jehanna Shaelah Erho Obstetrics & Gynecology 212 S Sullivan Ave, Fremont, MI 49412-1548 2015-04-29
1063836963 Newaygo County General Hospital Association General Acute Care Hospital 212 S Sullivan Ave, Fremont, MI 49412-1548 2014-02-12
1093147241 Katherine Mccormick Obstetrics & Gynecology 212 S Sullivan Ave, Fremont, MI 49412-1548 2013-07-30
1700121068 Leah Marie Bartolameolli Physical Therapist 212 S Sullivan Ave, Fremont, MI 49412 2012-11-27
1962776971 Kathleen Weber Dietitian, Registered 212 S Sullivan Ave, Fremont, MI 49412-1548 2012-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437632437 Claire Marie J Derks Massage Therapist 119 North Stone Road, Fremont, MI 49412 2018-09-14
1730565946 Retirement Living Management of Fremont, L.L.C. Assisted Living Facility 801 E. Main Street, Fremont, MI 49412 2015-08-11
1497136410 James Yon Social Worker 3682 S Maple Island Rd, Fremont, MI 49412 2015-06-16
1871864090 Cheryl Lee Kublin Specialist 4554 W. 48th St, Fremont, MI 49412 2012-01-19
1326319583 Colleen M Rice Occupational Therapist 4554 W. 48th Street, Fremont, MI 49412 2012-01-19
1154578847 Greenlund Enterprises, Inc Hearing Aid Equipment 28 Wet Sheridan Street, Fremont, MI 49412 2008-08-25
1225170699 Raymond Prins IIi Dentist 855 N Darling, Fremont, MI 49412 2007-02-13
1508933789 Charles Merle Erickson Dentist 16 W Sheridan, Fremont, MI 49412 2006-11-30
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1417041179 Newaygo County Resa Local Education Agency (LEA) 4747 W. 48th Street, Fremont, MI 49412 2006-10-03
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962054213 Phuong Thi Du Nguyen Physician Assistant 34311 Oconnell Ct, Fremont, CA 94555-3027 2019-07-16
1083107304 Zeba Mundu Physician Assistant 35864 Mission Blvd, Fremont, CA 94536-1544 2018-06-12
1518402353 Patrizia Andreina Visconti Physician Assistant 2557 Mowry Ave Ste 25, Fremont, CA 94538-1614 2017-01-04
1144698721 Cindy Luo Physician Assistant 2557 Mowry Ave # 3a, Fremont, CA 94538-1603 2015-09-12
1639239205 Jeffrey Cooper Physician Assistant 39120 Argonaut Way # 275, Fremont, CA 94538-1304 2006-12-12
1467529842 Yvonne Muro Physician Assistant 686 Mowry Ave., Fremont, CA 94536-4113 2006-11-29
1487728747 Mary J Flamme Physician Assistant 1848 N Nye Ave, Fremont, NE 68025-1300 2006-11-20
1104933548 Andrea Jane Neault Physician Assistant N430 Wood Duck Dr, Fremont, WI 54940 2006-08-23
1720030471 Jason Landon Garrow Physician Assistant E7376 Hwy H, Fremont, WI 54940-3454 2006-05-17
1639127517 Larry G Kisby Physician Assistant 710 Reynolds Road, Fremont, NE 68025-2300 2006-05-04
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Competitor

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City FREMONT
Zip Code 49412

Improve Information

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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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