JIRAYU J KUKIRATIRAT (NPI# 1841607256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841607256 |
| Entity Type | Individual |
| Full Name | JIRAYU J KUKIRATIRAT |
| Credential | DO |
| Practice Address |
1150 E Sherman Blvd Suite 2400 Muskegon MI 49444-1871 |
| Mailing Address |
1675 Leahy St Suite 315a Muskegon MI 49442-5500 |
| Practice Telephone | 2316726336 |
| Practice Fax Number | 2316726335 |
| Mailing Telephone | 2317275250 |
| Mailing Fax Number | 2317275248 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 5101021416 | MI | Student, Health Care |
| Street Address |
1150 E SHERMAN BLVD SUITE 2400 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247323 | Daniel Caldwell | Physician Assistant | 1150 E Sherman Blvd, Suite 1125, Muskegon, MI 49444-1871 | 2005-12-22 |
| 1942842000 | Kristina Johnson | Social Worker | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2019-10-10 |
| 1548763915 | Lyndsay April Randall | Nurse Practitioner | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2018-03-13 |
| 1083149173 | Madeline Janelle Ginn-terpstra | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2017-04-26 |
| 1952783888 | Donovan Blackwood Jeffcoat | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444 | 2015-06-27 |
| 1003257221 | West Michigan Heart | Internal Medicine | 1150 E Sherman Blvd, Muskegon, MI 49444-1871 | 2013-07-16 |
| 1831442094 | West Michigan Eye & Laser | Ophthalmology | 1150 E Sherman Blvd, Suite 1500, Muskegon, MI 49444-1871 | 2012-10-24 |
| 1265724603 | Benjamin J Visger | Neuromusculoskeletal Medicine & OMM | 1150 E Sherman Blvd, Suite 2400, Muskegon, MI 49444-1871 | 2011-05-04 |
| 1437464914 | Oluwatoyin Thomas | Internal Medicine | 1150 E Sherman Blvd, Suite 1175, Muskegon, MI 49444-1871 | 2010-08-09 |
| 1336453216 | Elizabeth Ann Westgate | Physician Assistant | 1150 E Sherman Blvd, Suite 1100, Muskegon, MI 49444-1871 | 2010-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797105 | Laurie Anne Smith | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 200b, Muskegon, MI 49442-5542 | 2020-03-30 |
| 1265069132 | John Whitney Rajala | Student in an Organized Health Care Education/Training Program | 1675 Leahy St Ste 201, Muskegon, MI 49442-5542 | 2020-03-23 |
| 1447735915 | Melanie Praay | Student in an Organized Health Care Education/Training Program | 3090 Bonneta Rd, Muskegon, MI 49442-1501 | 2018-10-01 |
| 1831584705 | Benjamin Wheeler | Student in an Organized Health Care Education/Training Program | 2450 E Bard Rd, Muskegon, MI 49445-9542 | 2015-03-30 |
| 1144453267 | Susan S Lee | Student in an Organized Health Care Education/Training Program | 1700 Oak Ave Ste 7, Muskegon, MI 49442-2407 | 2009-08-25 |
| 1164044830 | Justin R Staley | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-05-15 |
| 1770112930 | Luis M Rodriguez-galliano | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1487283628 | Kristen D Bruce | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1700415965 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1184253312 | Bernadette Mcdermott Dazzo | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-04-08 |
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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.