MR. ANTONIO P. GIANNELLI (NPI# 1841369642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841369642 |
| Entity Type | Individual |
| Full Name | MR. ANTONIO P. GIANNELLI |
| Credential | P.A.C. |
| Practice Address |
3394 E. Jolly Rd Ste C Lansing MI 48910 |
| Practice Telephone | 5172729700 |
| Practice Fax Number | 5172729706 |
| Mailing Telephone | 5172729700 |
| Mailing Fax Number | 5172729706 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001053 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1821562 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 1821562 | 01 |
| MI | SUPERVISOR IGNACZAK | TI035364 | 01 |
| MI | GROUP NPI NUMBER | 1750472734 | 01 |
| Street Address |
3394 E. JOLLY RD STE C |
| City | LANSING |
| State | MI |
| Zip Code | 48910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412565 | Kevin A Duffy | Physician Assistant | 3394 E. Jolly Rd Ste C, Lansing, MI 48910 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604562 | Wendy Lynne Hughes | Licensed Practical Nurse | 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 | 2020-09-18 |
| 1073146908 | James Laroach | Peer Specialist | 913 W. Homes Suite 200, Lansing, MI 48910 | 2020-02-19 |
| 1487284279 | Kourtia Nicole Munson | Counselor | 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 | 2020-01-21 |
| 1699248112 | Cedar Pharmacy LLC | Pharmacy | 2513 S Cedar St., Lansing, MI 48910 | 2019-01-08 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1477036655 | Dalia Elgohary | Pharmacist | 5016 S Martin Luther King, Lansing, MI 48910 | 2018-09-13 |
| 1457856940 | Derrick Lynn Byrd | Social Worker | 4305 S. Cedar St., Lansing, MI 48910 | 2018-03-27 |
| 1326564964 | Lansing Health Supplies | Durable Medical Equipment & Medical Supplies | 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 | 2017-08-15 |
| 1265957203 | Heather E Dover | Dietitian, Registered | 2510 Solomon Dr, Lansing, MI 48910 | 2017-08-10 |
| 1407307705 | Elise Evans | Occupational Therapist | 2331 East Jolly Rd, Suite B, Lansing, MI 48910 | 2016-10-21 |
| Find all providers in zip 48910 | ||||
| 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 |
|---|---|---|---|---|
| 1427513282 | Kari Ebel | Physician Assistant | 184 Canyon View Dr, Lansing, KS 66043-6254 | 2019-02-06 |
| 1235514076 | Thuy Vu | Physician Assistant | 1214 South Fork St, Lansing, MI 48917-4074 | 2015-07-22 |
| 1164803938 | Sara Elizabeth Berti | Physician Assistant | 612 Pacific Pkwy, Lansing, MI 48910-3334 | 2015-06-17 |
| 1386985091 | Debbie Ann Name | Physician Assistant | 720 First Terrace, Lansing, KS 66043 | 2013-03-05 |
| 1083923841 | Candace Kay Wixson-johnson | Physician Assistant | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911-3546 | 2010-09-28 |
| 1588986293 | Brent Joseph Leyser | Physician Assistant | 305 Farmstead Ln, Lansing, MI 48917 | 2010-02-22 |
| 1194977330 | Katelyn Elizabeth Lynch | Physician Assistant | 1200 E Michigan Ave Ste 340, Lansing, MI 48912-1894 | 2008-10-21 |
| 1932245560 | Jill Anne Gomoll | Physician Assistant | 1031 E Saginaw St, Lansing, MI 48906-5519 | 2007-01-30 |
| 1629158548 | Foster Brad Morris | Physician Assistant | 5525 S Martin Luther King Blvd, Lansing, MI 48911 | 2006-10-16 |
| 1972589695 | Mark Allan Lawson | Physician Assistant | 901 Kane Dr, Lansing, KS 66043-6305 | 2005-12-15 |
| Find all providers in LANSING | ||||
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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.