MR. ROBIN RAY SHOOK (NPI# 1699857748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699857748 |
| Entity Type | Individual |
| Full Name | MR. ROBIN RAY SHOOK |
| Credential | ANP-BC |
| Practice Address |
520 Cobb St Cadillac MI 49601-2588 |
| Practice Telephone | 2317756521 |
| Practice Fax Number | 2317751366 |
| Mailing Telephone | 2317756521 |
| Mailing Fax Number | 2317751366 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704184595 | MI | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704184595 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002233A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 COBB ST |
| City | CADILLAC |
| State | MI |
| Zip Code | 49601-2588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405670 | Augustin Dolorfino | Pediatrics | 520 Cobb St, Cadillac, MI 49601-2588 | 2005-05-27 |
| 1457977175 | Lauren Herba | Dentist | 520 Cobb St, Cadillac, MI 49601-2588 | 2020-06-18 |
| 1306476213 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 520 Cobb St, Cadillac, MI 49601-2588 | 2020-01-20 |
| 1578112124 | Erin Kelle Gardner | Counselor | 520 Cobb St, Cadillac, MI 49601-2588 | 2019-09-06 |
| 1881197242 | Cheryl Lynn Dise | Dental Hygienist | 520 Cobb St, Cadillac, MI 49601-2588 | 2018-03-13 |
| 1790205870 | Joselyn M Verdelli | Dentist | 520 Cobb St, Cadillac, MI 49601-2588 | 2017-06-21 |
| 1275081820 | Andrew Goldin Mintzer | Dentist | 520 Cobb St, Cadillac, MI 49601-2588 | 2016-09-12 |
| 1588038095 | Sherry Ann Barnes | Counselor | 520 Cobb St, Cadillac, MI 49601-2588 | 2015-11-20 |
| 1255704144 | Thomas Mceldowney | Dental Hygienist | 520 Cobb St, Cadillac, MI 49601-2588 | 2015-11-02 |
| 1386021582 | Baldwin Family Health Care | Internal Medicine | 520 Cobb St, Cadillac, MI 49601-2588 | 2015-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691983 | Hailey Amlott | Pharmacist | Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 | 2020-08-27 |
| 1558901454 | Diane Lyn Stearns | Physical Therapy Assistant | Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 | 2020-01-09 |
| 1902363013 | Marcella Marie Metzger | Pharmacist | 520 Cobb Street, Cadillac, MI 49601 | 2019-02-25 |
| 1558864447 | Tricia Wing | Physical Therapist | 704 Oak Street, Cadillac, MI 49601 | 2018-03-16 |
| 1386174134 | Marjorie Middel | Social Worker | 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 | 2017-06-14 |
| 1841726171 | T & M Helping Hand | Home Health | 325 Howard St, Cadillac, MI 49601 | 2017-05-05 |
| 1841731486 | Vicki Lynne Schutte | Behavior Technician | 7716 S. 27 Rd, Cadillac, MI 49601 | 2017-03-15 |
| 1518407220 | Rosanne Marie Denny | Behavior Technician | 605 Cadillac Shores Dr #106, Cadillac, MI 49601 | 2017-02-28 |
| 1821495532 | James David Shadoan | Family Medicine | 133 N. Shore Dr E., Cadillac, MI 49601 | 2014-11-24 |
| 1841632007 | Serenity Adult Foster Care Home LLC | Foster Care Agency | 2883 S. 41 Rd., Cadillac, MI 49601 | 2013-07-29 |
| Find all providers in zip 49601 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598155020 | Barbara Ames | Nurse Practitioner | 400 Hobart St, Cadillac, MI 49601-2331 | 2015-02-05 |
| 1003096272 | Ann G. Cane | Nurse Practitioner | 520 Cobb St, Cadillac, MI 49601-2588 | 2007-11-05 |
| 1841484920 | Victoria Lee Richards | Nurse Practitioner | 520 Cobb St, Cadillac, MI 49601-2588 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
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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.