MRS. JUDY J MITCHELSON (NPI# 1801900121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801900121 |
| Entity Type | Individual |
| Full Name | MRS. JUDY J MITCHELSON |
| Credential | PA |
| Practice Address |
10310 Miller Dr Galesburg MI 49053 |
| Mailing Address |
1045 E Front St Buchanan MI 49107-8474 |
| Practice Telephone | 2692867150 |
| Practice Fax Number | 2692867151 |
| Mailing Telephone | 2696955540 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002830 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1045 E Front St, Buchanan, MI 491078474 | 2696955540 |
| Street Address |
10310 MILLER DR |
| City | GALESBURG |
| State | MI |
| Zip Code | 49053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962410431 | Erik L Nelson | Pharmacy | 10310 Miller Dr, Galesburg, MI 49053-9581 | 2006-08-03 |
| 1144746637 | Richard Alvin Finedell Jr. | Nurse Practitioner | 10310 Miller Dr, Galesburg, MI 49053 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497240162 | Ella Philander | Assistant Behavior Analyst | 5370 N 37th St, Galesburg, MI 49053 | 2018-06-26 |
| 1992098404 | Terry Ray Walker | Pharmacist | 9880 E. Michigan Ave, Galesburg, MI 49053 | 2011-05-17 |
| 1306071634 | Amy Kay Embury | Psychologist | 9673 Candytuft, Galesburg, MI 49053-7724 | 2009-05-15 |
| 1134579378 | Nicole Tijerina | Technician, Other | 8396 Doe Ave, Galesburg, MI 49053-7742 | 2016-06-19 |
| 1700038684 | James C Breneman | Allergy & Immunology | 10571 Miller Dr, Galesburg, MI 49053-8607 | 2008-10-22 |
| 1467098202 | Nicole Marie Conway | Nurse Practitioner | 9880 E Michigan Ave # 100, Galesburg, MI 49053-8641 | 2019-11-26 |
| 1790892305 | Leon B Papendick | Physician Assistant | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2006-08-23 |
| 1467673525 | The Doctors Group | Family Medicine | 9880 E Michigan Ave, Suite 100, Galesburg, MI 49053-8641 | 2007-05-02 |
| 1376025676 | This Day Counseling, LLC | Community/Behavioral Health | 10144 Castle Creek Cir, Galesburg, MI 49053-8642 | 2018-09-04 |
| 1003423773 | True2u Counseling | Clinic/Center | 10144 Castle Creek Cir, Galesburg, MI 49053-8642 | 2020-09-28 |
| Find all providers in zip 49053 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082751 | Kelley A Krug | Physician Assistant | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2005-09-07 |
| 1558981951 | Brett Andrew Eandi | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2020-04-26 |
| 1992337000 | Sanburg Emergency Group, P.C. | Physician Assistant | 695 N Kellogg St, Galesburg, IL 61401-2807 | 2020-02-06 |
| 1457823437 | Hannah Mikkalson | Physician Assistant | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2019-01-01 |
| 1629573878 | Brittany S Simmons | Physician Assistant | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2018-03-29 |
| 1922436682 | Jackie Spence | Physician Assistant | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2013-10-16 |
| 1447527882 | Julie A Quam | Physician Assistant | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2011-11-30 |
| 1386972016 | Bethany L Glaser | Physician Assistant | 834 N Seminary St, Suite 402, Galesburg, IL 61401-2852 | 2009-11-18 |
| 1205820917 | Barbara Jb Clark | Physician Assistant | 834 N Seminary St, Ste 402, Galesburg, IL 61401-2852 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.