TARA JOCK


Address: 790 E Columbia St, Mason, MI 48854-1387
Phone: 5172440120

TARA JOCK (NPI# 1912256975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912256975
Entity Type Individual
Full Name TARA JOCK
Credential PA
Practice Address 790 E Columbia St
Mason
MI 48854-1387
Mailing Address 2844 Holt Rd
Mason
MI 48854-9460
Practice Telephone 5172440120
Mailing Telephone 2699861765
Enumeration Date 2012-09-06
Last Update Date 2012-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601006493 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 790 E COLUMBIA ST
City MASON
State MI
Zip Code 48854-1387

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730289422 Corinne E Stanton Social Worker 790 E Columbia St, Suite 1, Mason, MI 48854-1387 2006-09-23
1306247374 Sarah Hutcheson Counselor 790 E Columbia St, Mason, MI 48854-1387 2014-09-10
1730523598 Mary Ellen Boudreau Social Worker 790 E Columbia St, Mason, MI 48854-1387 2013-04-24
1548542178 Robert Edward Jock Physician Assistant 790 E Columbia St, Mason, MI 48854-1387 2011-09-09
1013116672 Mary Carmen Meerschaert Internal Medicine 790 E Columbia St, Mason, MI 48854-1387 2007-07-13
1972603041 William Charles Trowbridge General Practice 790 E Columbia St, Mason, MI 48854-1387 2006-09-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669919205 Michael Metcalf Behavior Technician 3470 Josephine Lane, Mason, MI 48854 2017-01-20
1891160511 Carol Heckaman Social Worker 818 Charrington Ct., Mason, MI 48854 2015-12-07
1730588765 Katherine Reeber Social Worker 2950 W Howell Rd, Mason, MI 48854 2014-08-14
1417383746 Melissa F Baker Counselor 855 Eaton Drive, Mason, MI 48854 2013-09-18
1881940922 Jennifer K Ogle Social Worker 118 W Oak St Ste 202, Mason, MI 48854 2012-07-26
1326260944 Douglas W Gray Dds Dentist 230 S Temple St, Mason, MI 48854 2007-05-03
1043378185 Timothy Joseph Zielinski Dentist 640 Wash, Mason, MI 48854 2006-12-04
1578635470 Barbara Ann Begian Physician Assistant 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 2006-11-15
1528015336 University Rehabilitation Alliance, Inc. Custodial Care Facility 3181 Sandhill Rd., Mason, MI 48854 2006-05-27
1669428827 Jeffrey Scott Deweerd Family Medicine 710 Temple St, Mason, MI 48854 2006-05-26
Find all providers in zip 48854

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071908 Hannah Murrin Physician Assistant 4329 Marival Way, Mason, OH 45040-2867 2020-10-19
1902016181 Jessica Lynn Hill Physician Assistant 806 Hogsback Rd Ste C, Mason, MI 48854-8525 2007-05-23
1578635470 Barbara Ann Begian Physician Assistant 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 2006-11-15
1902855935 Kathy Jo Barr Physician Assistant 725 S Jefferson St, Mason, MI 48854-1613 2006-05-08
1396365268 Laura Garcia Physician Assistant 5236 Socialville Foster Rd, Mason, OH 45040-9302 2020-04-21
1447759055 Julie A Basile Physician Assistant 5298 Socialville Foster Rd, Mason, OH 45040-9302 2018-02-09
1730623257 Kathleen Reinke Physician Assistant 800 E Columbia St, Mason, MI 48854-1381 2016-12-19
1548542178 Robert Edward Jock Physician Assistant 790 E Columbia St, Mason, MI 48854-1387 2011-09-09
1740495720 Franceine Sanfelippo Potter Physician Assistant 5298 Socialville Foster Rd, Mason, OH 45040-9302 2007-05-11
1104046606 Laura Rochelle Knoop Physician Assistant 969 Reading Rd Ste N, Mason, OH 45040 2007-04-26
Find all providers in MASON

Competitor

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City MASON
Zip Code 48854

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Dataset Information

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.

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