KRISTEN MARTIN DZIADULA (NPI# 1811037120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811037120 |
| Entity Type | Individual |
| Full Name | KRISTEN MARTIN DZIADULA |
| Credential | PA |
| Practice Address |
36123 Schoolcraft Rd Livonia MI 48150-1216 |
| Practice Telephone | 7344640887 |
| Practice Fax Number | 7344020254 |
| Mailing Telephone | 7344640887 |
| Mailing Fax Number | 7344020254 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003837 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36123 SCHOOLCRAFT RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789055 | Gina Marie D'ambrosio | Internal Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2005-06-02 |
| 1346805769 | Von Deneb Vitto | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2019-05-01 |
| 1013403302 | Dione Amber Wright | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2018-07-10 |
| 1285181065 | Katherine M. Crampton | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150 | 2016-09-08 |
| 1376906305 | Roger Fox | Respiratory Therapist, Certified | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-29 |
| 1558723528 | Inpatient Consultants of Michigan, P.C. | Family Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-28 |
| 1619339686 | Inpatient Consultants of Ohio, PC | Family Medicine | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2016-03-28 |
| 1205297876 | Stacy Meitler | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150 | 2016-03-10 |
| 1174999213 | Dawn Elizabeth Pangrazzi | Nurse Practitioner | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2015-08-12 |
| 1871978486 | Meredith Benesch | Massage Therapist | 36123 Schoolcraft Rd, Livonia, MI 48150-1216 | 2015-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529027 | Angela Ilagan | Physician Assistant | 17800 Newburgh Rd Ste 103, Livonia, MI 48152-2794 | 2018-05-29 |
| 1902206477 | New Beginning Physical Therapy Center | Physician Assistant | 27837 7 Mile Rd, Livonia, MI 48152-3701 | 2014-09-03 |
| 1063461945 | Elisabeth Ann Deller | Physician Assistant | 38935 Ann Arbor Rd, Livonia, MI 48150-3354 | 2006-05-09 |
| 1578048138 | Jordan Marie Attisha | Physician Assistant | 17800 Newburgh Rd, Livonia, MI 48152-2700 | 2018-09-30 |
| 1407248537 | Candace Atisha | Physician Assistant | 37669 Pembroke Ave, Livonia, MI 48152-1050 | 2015-02-26 |
| 1902216591 | Vanessa Ameer Jwad | Physician Assistant | 37595 7 Mile Rd, #400, Livonia, MI 48152-1003 | 2014-05-05 |
| 1457782450 | Regents of The University of Michigan - Ambulatory Ctr for Vein Trtmt | Physician Assistant | 19900 Haggerty Rd, Suite 105, Livonia, MI 48152-1054 | 2013-12-02 |
| 1902181282 | Stephanie Kay Lafever | Physician Assistant | 37799 Professional Center Dr, Suite 105, Livonia, MI 48154-1153 | 2011-10-18 |
| 1780999185 | Kristi Marie Capaldi | Physician Assistant | 27550 Joy Rd, Livonia, MI 48150-4145 | 2010-08-10 |
| 1790911204 | Theresa Ann White | Physician Assistant | 37605 Pembroke Ave, Livonia, MI 48152-1050 | 2009-06-10 |
| Find all providers in LIVONIA | ||||
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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.