BETHANY ANN MCDADE (NPI# 1699140418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699140418 |
| Entity Type | Individual |
| Full Name | BETHANY ANN MCDADE |
| Credential | AGPCNP-BC |
| Practice Address |
44201 Dequindre Rd Troy MI 48085-1117 |
| Mailing Address |
5333 Mcauley Dr Ste 2009 Ypsilanti MI 48197-1014 |
| Practice Telephone | 2489645000 |
| Practice Fax Number | 2489644848 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704275000 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
44201 DEQUINDRE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892468 | Mary Margaret Guerra | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2005-06-28 |
| 1578163523 | Laura Marie Metz | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-29 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1437756095 | Amanda Michelle Hirsch | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-07 |
| 1467059113 | Scott Matthew Grumeretz | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1285231944 | Brianne Patton | Physical Therapist | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-06 |
| 1679180483 | John L Freds | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-25 |
| 1720694300 | Justine Marie Doss | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-19 |
| 1649885872 | Sara Dawn Thueme | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-09-14 |
| 1316561772 | Jodi Marini | Registered Nurse | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1770981037 | Aimee Dennis | Nurse Practitioner | 880 W Long Lake Rd # 600, Troy, MI 48098-4504 | 2014-12-18 |
| 1033549381 | Jodie Eickhoff | Nurse Practitioner | 6535 Rochester Rd Ste 2, Troy, MI 48085-1362 | 2013-11-24 |
| 1912337551 | Grace Wang | Nurse Practitioner | 2883 Creek Bend Dr, Troy, MI 48098-2381 | 2013-11-18 |
| 1023326881 | Bernadette Sarah Below | Nurse Practitioner | 2095 E Big Beaver Rd Ste 375, Troy, MI 48083-2374 | 2010-09-15 |
| 1841516432 | Lynne Longtin | Nurse Practitioner | 74 Ferry St, Troy, NY 12180 | 2010-04-08 |
| 1942525522 | Joann Barhorst | Nurse Practitioner | 1300 N County Road 25a, Troy, OH 45373-1359 | 2010-04-07 |
| 1982898326 | Cassandra L Lutes | Nurse Practitioner | 215 Highway Aa, Troy, MO 63379 | 2007-08-29 |
| 1467490870 | Jessica Elizabeth Niehoff | Nurse Practitioner | 104 Sarah Ann Blvd, Troy, MO 63379-2038 | 2006-06-04 |
| 1265032445 | Jenni Layne Bolton | Nurse Practitioner | 550 Summit Ave Ste 101, Troy, OH 45373-3047 | 2020-10-28 |
| Find all providers in TROY | ||||
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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.