MICHAEL CHARLES RONDEAU (NPI# 1912443839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912443839 |
| Entity Type | Individual |
| Full Name | MICHAEL CHARLES RONDEAU |
| Credential | N.P. |
| Practice Address |
580 W College Ave Marquette MI 49855-2736 |
| Practice Telephone | 9062289440 |
| Mailing Telephone | 9062289440 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704246718 | MI | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704246718 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
580 W COLLEGE AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196401 | Constance G Arnold | Surgery | 580 W College Ave, Marquette, MI 49855-2705 | 2005-06-28 |
| 1427611870 | Douglas Kozeluh | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2019-04-20 |
| 1568931921 | Bryan Francis Harris | Nurse Practitioner | 580 W College Ave, Marquette, MI 49855-2736 | 2018-11-15 |
| 1386130169 | Melinda Sue Dehority | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2018-07-05 |
| 1164943007 | Imaging Associates of Michigan Pllc | Radiology | 580 W College Ave, Marquette, MI 49855-2736 | 2017-06-30 |
| 1023551074 | Christina Deanna Selent | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-23 |
| 1033651534 | Kevin Mcdowell | Psychologist | 580 W College Ave, Marquette, MI 49855-2736 | 2016-11-15 |
| 1871049957 | James Christensen | Registered Nurse | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-29 |
| 1275087280 | Stacie Powers | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2736 | 2016-08-08 |
| 1154773810 | Joseph Morris Holcomb | Nurse Anesthetist, Certified Registered | 580 W College Ave, Marquette, MI 49855-2736 | 2016-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
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| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1467063966 | Justin S. Kleinschmidt | Nurse Practitioner | 1414 W Fair Ave Ste 190, Marquette, MI 49855-5406 | 2020-08-10 |
| 1457540403 | Susan Ann Pragacz | Nurse Practitioner | 580 W College Ave, Trauma Department, Marquette, MI 49855-2705 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1790337210 | Dorothy Denise Bell-ruth | Nurse Practitioner | 18856 Southampton St, Livonia, MI 48152-3050 | 2019-07-15 |
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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.