SCOTT RUSSELL VANDEN BOSCH (NPI# 1891152146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891152146 |
| Entity Type | Individual |
| Full Name | SCOTT RUSSELL VANDEN BOSCH |
| Credential | PA-C |
| Practice Address |
121 Hatch Ave Coldwater MI 49036-1242 |
| Practice Telephone | 6166444821 |
| Mailing Telephone | 6166444821 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
121 HATCH AVE |
| City | COLDWATER |
| State | MI |
| Zip Code | 49036-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
| 1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
| 1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
| 1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
| 1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
| 1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
| 1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
| 1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
| 1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
| 1114337581 | Johnson Kattathra | Pharmacist | 620 E Chicago St, Coldwater, MI 49036 | 2014-05-06 |
| Find all providers in zip 49036 | ||||
| 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 |
|---|---|---|---|---|
| 1598386880 | Adam J Homan | Physician Assistant | 202 Briarwood Dr, Coldwater, OH 45828-1001 | 2020-04-28 |
| 1225670631 | Rachel Michelle Miller | Physician Assistant | 375 N Willowbrook Rd, Coldwater, MI 49036-8847 | 2019-10-17 |
| 1982160065 | Brittany Ann Homan | Physician Assistant | 800 W Main St, Coldwater, OH 45828-1613 | 2019-02-14 |
| 1871945709 | Rezeda Pydyn | Physician Assistant | 274 E Chicago St, Coldwater, MI 49036-2041 | 2016-07-03 |
| 1801264759 | Community Health Center of Branch County | Physician Assistant | 235 E Chicago St, Coldwater, MI 49036-1783 | 2015-09-09 |
| 1528393675 | Jessica M Magyar | Physician Assistant | 274 E Chicago St, Coldwater, MI 49036-2041 | 2009-10-07 |
| 1891976304 | Jamie Arnett Lewandowski | Physician Assistant | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2007-11-27 |
| 1720273527 | Sara Anne Stanton | Physician Assistant | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2007-09-14 |
| 1831393362 | Kenneth Paul Fittro | Physician Assistant | 274 East Chicago Street, Emergency Dept. Community Health Center of Branch Coun, Coldwater, MI 49036 | 2007-06-11 |
| 1114001237 | Sheresa Nicole Wilson-devries | Physician Assistant | 292 E Chicago St, Coldwater, MI 49036-2041 | 2006-10-25 |
| Find all providers in COLDWATER | ||||
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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.