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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5601007732 | MI | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
212 S SULLIVAN AVE |
City | FREMONT |
State | MI |
Zip Code | 49412-1548 |
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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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 |
1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
Find all providers in zip 49412 |
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 |
---|---|---|---|---|
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 |
Find all providers in FREMONT |
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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.