JODY WERTZ (NPI# 1730484874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730484874 |
| Entity Type | Individual |
| Full Name | JODY WERTZ |
| Credential | PA |
| Practice Address |
1820 Shaffer St Kalamazoo MI 49048-1656 |
| Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2693817136 |
| Practice Fax Number | 2693816665 |
| Mailing Telephone | 2693817136 |
| Mailing Fax Number | 2693816665 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005918 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0853901350 | 01 |
| Street Address |
1820 SHAFFER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490207 | William J Klerk Jr. | Physician Assistant | 1820 Shaffer St, Kalamazoo, MI 49048-1604 | 2006-03-14 |
| 1356961619 | Suzann Bellinger | Registered Nurse | 1820 Shaffer St, Kalamazoo, MI 49048-1656 | 2020-04-16 |
| 1295287852 | Renee Lacoss | Social Worker | 1820 Shaffer St, Kalamazoo, MI 49048-1656 | 2016-10-31 |
| 1326477225 | Daniel Ebenhoeh | Physician Assistant | 1820 Shaffer St, Kalamazoo, MI 49048-1656 | 2013-11-01 |
| 1316284805 | Jessica Eloise Robb | Social Worker | 1820 Shaffer St, Kalamazoo, MI 49048-1656 | 2013-01-03 |
| 1417212564 | Natalie D Dereka | Physical Therapist | 1820 Shaffer St, Suite B, Kalamazoo, MI 49048-1656 | 2012-07-05 |
| 1922377910 | Mary Elizabeth Katz | Dietitian, Registered | 1820 Shaffer St, Kalamazoo, MI 49048-1656 | 2011-12-20 |
| 1497981427 | Rr Simon Consulting Inc | General Practice | 1820 Shaffer St, Kalamazoo, MI 49048-1656 | 2009-06-04 |
| 1871670257 | Gull Road Medical Practice, P.C. | Family Medicine | 1820 Shaffer St, Kalamazoo, MI 49048-1604 | 2006-11-01 |
| 1073600490 | Physiotherapy Associates Inc | Clinic/Center | 1820 Shaffer St, Ste B, Kalamazoo, MI 49048-1656 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073057725 | Zachary Turk Harling | Physician Assistant | 2340 Waite Ave, Kalamazoo, MI 49008-1722 | 2016-12-15 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1831470285 | Kalmazoo Gastroenterology Hepatology and Digestive Health Center | Physician Assistant | 1535 Gull Rd Ste 105, Kalamazoo, MI 49048-1630 | 2011-08-30 |
| 1922321322 | Lisa Marie Cotten | Physician Assistant | 4658 Silverleaf Ln, Kalamazoo, MI 49004-3179 | 2010-03-12 |
| 1043457534 | Carrie Ann Assenmacher | Physician Assistant | 1820 Shaffer Street, Kalamazoo, MI 49048-1604 | 2009-01-21 |
| 1801083126 | Jaclyn Frances Stoddard | Physician Assistant | 6565 West Main St., Kalamazoo, MI 49009 | 2007-10-01 |
| 1811085475 | James Bryon Newton | Physician Assistant | 4249 Pine Knoll Ave, Kalamazoo, MI 49004-9506 | 2006-10-10 |
| 1164490207 | William J Klerk Jr. | Physician Assistant | 1820 Shaffer St, Kalamazoo, MI 49048-1604 | 2006-03-14 |
| 1912999012 | Wayne Gerard Augustyniak | Physician Assistant | 2889 South 11th Street, Kalamazoo, MI 49009-2123 | 2005-08-16 |
| 1700880200 | Joseph Williams | Physician Assistant | 4613 W Main St, Ste. B, Kalamazoo, MI 49006-2645 | 2005-06-13 |
| Find all providers in KALAMAZOO | ||||
Please comment or provide details below to improve the information on JODY WERTZ.
| 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.