ANDREA L KNOKE (NPI# 1902113475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902113475 |
| Entity Type | Individual |
| Full Name | ANDREA L KNOKE |
| Other Name | ANDREA L PASKO |
| Credential | PA-C |
| Practice Address |
650 S West Bay Shore Dr Suttons Bay MI 49682-9587 |
| Practice Telephone | 2312716511 |
| Practice Fax Number | 2312716519 |
| Mailing Telephone | 2312716511 |
| Mailing Fax Number | 2312716519 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601005837 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
650 S WEST BAY SHORE DR |
| City | SUTTONS BAY |
| State | MI |
| Zip Code | 49682-9587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437228301 | Mark A Priest Do PC | Family Medicine | 650 S West Bay Shore Dr, Suttons Bay, MI 49682-9587 | 2006-11-07 |
| 1164945978 | Crystal Lake Clinic P.C. | Family Medicine | 650 S West Bay Shore Dr, Suttons Bay, MI 49682-9587 | 2017-07-24 |
| 1588083836 | Leelanau Urgent Care, PC | Clinic/Center | 650 S West Bay Shore Dr, Suttons Bay, MI 49682-9587 | 2014-04-15 |
| 1518383678 | Leelanau Urgent Care, PC | Family Medicine | 650 S West Bay Shore Dr, Suttons Bay, MI 49682-9587 | 2014-03-13 |
| 1699924951 | John P Dunn | Internal Medicine | 650 S West Bay Shore Dr, Suttons Bay, MI 49682-9587 | 2008-09-11 |
| 1326197179 | Leelanau Urgent Care, PC | Clinic/Center | 650 S West Bay Shore Dr, Suttons Bay, MI 49682-9587 | 2007-01-10 |
| 1982773875 | Danette Lea Wells | Physician Assistant | 650 S West Bay Shore Dr, Suttons Bay, MI 49682-9587 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1942756259 | Aleeah Bebermeyer | Physical Therapy Assistant | 73 W Fourth St., Sutton Bay, MI 49682 | 2016-08-28 |
| 1619346780 | Kathy Ann Bowers | Registered Nurse | 2300 N. Stallman Rd, Suttons Bay, MI 49682 | 2015-09-18 |
| 1508126517 | Grand Traverse Band of Ottawa and Chippewa Indians | Clinic/Center | 2300 N Stallman Road, Peshawbestown, MI 49682 | 2012-05-23 |
| 1063648491 | John Allen Nagel | Pharmacist | 321 N.st.joseph, Suttons Bay, MI 49682 | 2009-05-29 |
| 1205953395 | Mark Hall Hoffman | Chiropractor | 111 Madison St, Suttons Bay, MI 49682 | 2007-03-23 |
| 1104957109 | Lise C. Zahn | Physical Therapist | 73 Fourth St., Suttons Bay, MI 49682 | 2007-03-08 |
| 1457481251 | Andrea Darlene Xaver | Pharmacist | 321 N. St. Joseph St., Suttons Bay, MI 49682 | 2007-03-07 |
| 1871643858 | Steven David Hall | Dentist | 1299 Southwest Bay Shore Drive, Suttons Bay, MI 49682 | 2007-01-11 |
| 1457441362 | Donald R Mileski | Pharmacist | 321 N Saint Joseph St, Suttons Bay, MI 49682 | 2006-10-13 |
| Find all providers in zip 49682 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | SUTTONS BAY |
| Zip Code | 49682 |
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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.