FREDERICK C KOMINARS (NPI# 1760477657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760477657 |
| Entity Type | Individual |
| Full Name | FREDERICK C KOMINARS |
| Credential | P.A.-C |
| Practice Address |
5300 Elliott Dr Ypsilanti MI 48197-8632 |
| Practice Telephone | 7344346262 |
| Practice Fax Number | 7137122820 |
| Mailing Telephone | 7344346262 |
| Mailing Fax Number | 7347122820 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2010-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
FK002395 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS GROUP | 0H14989 | 01 |
| MI | BCBS INDIVIDUAL | 1058112690 | 01 |
| Street Address |
5300 ELLIOTT DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760975528 | Amy Lee Staubach | Physician Assistant | 5300 Elliott Dr, Ypsilanti, MI 48197 | 2018-06-07 |
| 1992041446 | Center for Digestive Care LLC | Clinic/Center | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2013-01-02 |
| 1285901553 | Nichole Vinson | Registered Nurse | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2011-11-30 |
| 1407146517 | Stephen H Berger | Internal Medicine | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2011-04-10 |
| 1790091825 | Cdc Management Services, LLC. | Nurse Anesthetist, Certified Registered | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2010-08-26 |
| 1437479383 | Paul M Corsello | Internal Medicine | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2010-06-02 |
| 1396079083 | Ashley A Radawski | Physician Assistant | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2009-09-28 |
| 1972766574 | Aditi Saxena | Internal Medicine | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2008-07-03 |
| 1538286687 | Anthony Thomas Debenedet | Internal Medicine | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2007-03-23 |
| 1699803668 | Toni Marie Bologna | Registered Nurse | 5300 Elliott Dr, Ypsilanti, MI 48197-8632 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861455206 | Anthony L Redente | Physician Assistant | 7967 Hallie Dr, Ypsilanti, MI 48198-7606 | 2006-04-07 |
| 1346221298 | Cinderella Ann Miller Wilkins | Physician Assistant | 1649 S Huron St, Ypsilanti, MI 48197-9701 | 2005-11-08 |
| 1538166616 | Matthew Nicholas Hodrosky | Physician Assistant | 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | 2005-07-05 |
| 1225659196 | Hannah Rose Miller | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-05-02 |
| 1699285247 | Laura Mifsud | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2017-10-10 |
| 1003326216 | Mark Brown | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2017-10-03 |
| 1427579077 | Fahtme Abdallah | Physician Assistant | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2017-07-05 |
| 1285163097 | Barry Crawford | Physician Assistant | 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 | 2017-06-06 |
| 1134678055 | Sophia Przewozniak | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2016-10-04 |
| 1053760470 | Michigan Otolaryngology Surgery Associates | Physician Assistant | 5333 Mcauley Dr, Suite 2017, Ypsilanti, MI 48197-1014 | 2016-06-07 |
| Find all providers in YPSILANTI | ||||
Please comment or provide details below to improve the information on FREDERICK C KOMINARS.
| 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.