MRS. SHELLY RAE KLEIN (NPI# 1710146675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710146675 |
| Entity Type | Individual |
| Full Name | MRS. SHELLY RAE KLEIN |
| Other Name | MRS. SHELLY RAE ULFIG |
| Credential | PA C |
| Practice Address |
900 Cooper Ave Suite 4100 Saginaw MI 48602-5182 |
| Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
| Practice Telephone | 9895834700 |
| Practice Fax Number | 9895837173 |
| Mailing Telephone | 9895834700 |
| Mailing Fax Number | 9895837173 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005250 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659449411 | Shelly Fay Klein | Pediatrics | 7875 E Florentine Rd, Suite A, Prescott Valley, AZ 86314-2284 | 2006-12-01 |
| 1053869891 | Shelly Jo Klein | Nurse Practitioner | 200 Main St, Guttenberg, IA 52052-9108 | 2016-09-21 |
| Street Address |
900 COOPER AVE SUITE 4100 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734135 | Kenneth C. Hanson Jr. | Emergency Medicine | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2005-07-20 |
| 1356940738 | Libing Kathy Dong | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-18 |
| 1932706884 | Robert Austin Hammond | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-10-05 |
| 1689289456 | Nader Alaaeldin Refai | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-09 |
| 1649884958 | Justin Lee Bielby | Nurse Anesthetist, Certified Registered | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-09-03 |
| 1225640345 | Andrew Caminata | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-19 |
| 1043820137 | Zachary Scott Yaker | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
| 1265042279 | Trusha Patel | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-04 |
| 1699385914 | Michael Megaly | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-08-01 |
| 1992315345 | Sean-matthew Gogola Calo | Student in an Organized Health Care Education/Training Program | 900 Cooper Ave, Saginaw, MI 48602-5182 | 2020-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051575 | Nichole Marie Shuff | Physician Assistant | 2130 Marshall Ct, Saginaw, MI 48602-3351 | 2018-11-09 |
| 1013223866 | Lindsey Pilling | Physician Assistant | 900 Cooper Ave, Suite .3100, Saginaw, MI 48602-5182 | 2010-08-30 |
| 1427218668 | Derrick J. Jauss | Physician Assistant | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2008-06-11 |
| 1457496978 | Sheila Wing | Physician Assistant | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2007-02-21 |
| 1881739407 | Jon Schwarz | Physician Assistant | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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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.