GAYLE KEIDER (NPI# 1891971677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891971677 |
| Entity Type | Individual |
| Full Name | GAYLE KEIDER |
| Practice Address |
115 E Long Lake Rd Troy MI 48085-5524 |
| Practice Telephone | 2488287500 |
| Practice Fax Number | 2488136511 |
| Mailing Telephone | 2488287500 |
| Mailing Fax Number | 2488136511 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2011-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
115 E LONG LAKE RD |
| City | TROY |
| State | MI |
| Zip Code | 48085-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459196 | Lawrence A Greenberg | Internal Medicine | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2005-09-29 |
| 1336669993 | Kendall Rose Gjetaj | Physician Assistant | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2017-06-26 |
| 1699215939 | Advanced Therapy Services | Clinic/Center | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2017-03-06 |
| 1356765549 | Premier Care Physical Therapy | Physical Medicine & Rehabilitation | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2014-02-10 |
| 1669735130 | J.h.s. D.o. P.C. | Clinic/Center | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2012-06-20 |
| 1306030390 | Nicoleta Balan | Physical Therapist | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2007-09-01 |
| 1649461492 | Geoffey M Saham, M.d.p C | Internal Medicine | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2007-08-07 |
| 1669680872 | Raymond Jay Weitzman | Internal Medicine | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2007-05-19 |
| 1528119658 | Angela D Hamlin | Internal Medicine | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2007-01-16 |
| 1720149891 | Mitchell H Folbe Md | Non-Pharmacy Dispensing Site | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902356454 | Elaina Diclemente | Physician Assistant | 44199 Dequindre Rd Ste 222, Troy, MI 48085-1128 | 2016-10-08 |
| 1710338090 | Megan S Hakim | Physician Assistant | 4600 Investment Dr Ste 150, Troy, MI 48098-6376 | 2016-06-28 |
| 1811390560 | Anika Webb | Physician Assistant | 160 South Railroad Street, Station Square, Troy, PA 16947-1499 | 2014-10-08 |
| 1518099340 | Lisa Denise Sowels | Physician Assistant | 306 Town Center Dr, Troy, MI 48084-1742 | 2007-03-09 |
| 1487792867 | Pamela Sutherly | Physician Assistant | 700 S Stanfield Rd Ste A, Troy, OH 45373 | 2007-02-01 |
| 1164492229 | Leigh A. Dobbs | Physician Assistant | 264 W. Maple Rd., Suite #200, Troy, MI 48084 | 2006-01-23 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1902386493 | Sara F Ruch | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2018-08-15 |
| 1376991539 | Kelsey Hilley | Physician Assistant | 2215 Burdett Ave, Samaritan Hospital, Troy, NY 12180-2466 | 2016-05-28 |
| 1487035275 | Lauren Naborczyk | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-06-17 |
| Find all providers in TROY | ||||
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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.