LYNN M RADKA (NPI# 1003335449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003335449 |
| Entity Type | Individual |
| Full Name | LYNN M RADKA |
| Practice Address |
11899 M 32 Atlanta MI 49709-9374 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9897854855 |
| Practice Fax Number | 9897852267 |
| Mailing Telephone | 9893542197 |
| Mailing Fax Number | 9893566524 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2902015107 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1003335449 | 05 |
| Street Address |
11899 M 32 |
| City | ATLANTA |
| State | MI |
| Zip Code | 49709-9374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437101680 | Wayne K Mcewen | Physician Assistant | 11899 M 32, Atlanta, MI 49709-9374 | 2006-05-16 |
| 1497316210 | Emily F Hill | Dentist | 11899 M 32, Atlanta, MI 49709-9374 | 2019-06-24 |
| 1528627247 | Patrick Dionise | Dentist | 11899 M 32, Atlanta, MI 49709-9374 | 2019-06-06 |
| 1275094617 | Nickole L Stein-fisher | Social Worker | 11899 M 32, Atlanta, MI 49709-9374 | 2019-03-28 |
| 1245703198 | Brenna E Hincka | Dental Hygienist | 11899 M 32, Atlanta, MI 49709-9374 | 2019-01-03 |
| 1164991527 | Lori M Wineman | Pharmacist | 11899 M 32, Atlanta, MI 49709-9374 | 2018-11-15 |
| 1104336163 | Emily F Hoffmeyer | Dental Assistant | 11899 M 32, Atlanta, MI 49709-9374 | 2017-10-04 |
| 1689192809 | Amy J Code | Nurse Practitioner | 11899 M 32, Atlanta, MI 49709-9374 | 2017-09-08 |
| 1225390008 | Shannon L. Avenall | Social Worker | 11899 M 32, Atlanta, MI 49709-9374 | 2012-06-08 |
| 1568759702 | Jennifer Ann Suszek | Dental Hygienist | 11899 M 32, Atlanta, MI 49709-0850 | 2011-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881960722 | Thunder Bay Community Health Service, Inc | Clinic/Center | 10500 County Road 489, Atlanta, MI 49709 | 2012-03-26 |
| 1043441975 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 12674 Jerome St., Atlanta, MI 49709 | 2009-07-27 |
| 1063598241 | Henry Franklin Herlick | Dentist | 12551 Jerome St, Atlanta, MI 49709 | 2006-10-31 |
| 1437362902 | Ronald J. Looney | Chiropractor | 12418 State St., Atlanta, MI 49709-0855 | 2007-05-08 |
| 1427055680 | Tanya Joyce Rock | Social Worker | 5375 E Sandy Trl, Atlanta, MI 49709-8956 | 2005-07-02 |
| 1912444605 | Rachael Sherbonda | Behavior Technician | 8051 County Road 489, Atlanta, MI 49709-9031 | 2017-01-19 |
| 1174999098 | Montmorency County Commission On Aging | Home Health | 11463 Mcarthur Rd, Atlanta, MI 49709-9192 | 2015-08-14 |
| 1316998909 | Tri - Township Ambulance Service | Ambulance | 11413 Parland St, Atlanta, MI 49709-9271 | 2006-05-16 |
| 1831179597 | Professional Breathing Associates Inc | Durable Medical Equipment & Medical Supplies | 12519 State St, Atlanta, MI 49709-9622 | 2006-01-19 |
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543871 | Amy Lynnstarr Cohn | Dental Hygienist | 1252 Dunwoody Cv, Atlanta, GA 30338-2306 | 2020-09-18 |
| 1881214864 | Shante' L Mosley | Dental Hygienist | 2118 Belhaven Ln Se, Atlanta, GA 30315-6802 | 2020-04-20 |
| 1861021677 | Morristine Lynn Mcclain | Dental Hygienist | 3890 Redwine Rd Sw Ste 206, Atlanta, GA 30331-5583 | 2020-04-03 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1558896472 | Shelley Christine Bergholcs | Dental Hygienist | 2828 Peachtree Rd Nw, #1902, Atlanta, GA 30305-5107 | 2017-04-28 |
| 1013208883 | Angeline Chiang | Dental Hygienist | 55 Georgia Ave Se, Atlanta, GA 30312-2848 | 2011-04-27 |
| 1578778270 | Stacey Leigh Graves | Dental Hygienist | 229 Peachtree St Ne, Suite 206, Atlanta, GA 30303-1601 | 2007-05-14 |
| 1811100779 | Amy C Reid | Dental Hygienist | 229 Peachtree Street Ne, International Tower Suite 206, Atlanta, GA 30303 | 2007-05-08 |
| 1912081399 | Kimberly Yvette Brown | Dental Hygienist | 229 Peachtree St. Ne Ste 206, Atlanta, GA 30303 | 2006-10-24 |
| 1780200089 | Ji Eun Park | Dental Hygienist | 3206 Shallowford Rd Ne, Atlanta, GA 30341-3633 | 2020-06-22 |
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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.