BRUCE F SULLENS (NPI# 1003990300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003990300 |
| Entity Type | Individual |
| Full Name | BRUCE F SULLENS |
| Credential | PA-C |
| Practice Address |
14700 East Old Us 12 Chelsea MI 48118-1185 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7344751321 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003720 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003720 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14700 EAST OLD US 12 |
| City | CHELSEA |
| State | MI |
| Zip Code | 48118-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480966 | Thomas Ward Bishop | Psychologist | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2005-07-12 |
| 1144672841 | Julie Anne Blaszczak | Family Medicine | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2016-07-06 |
| 1669739041 | Angela Lucille Kuznia | Family Medicine | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2012-04-23 |
| 1760619605 | Nell Burger Kirst | Family Medicine | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2009-06-18 |
| 1538305792 | Annette Maria Sandretto | Nurse Practitioner | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2008-12-18 |
| 1700047420 | Ghazwan G Toma | Family Medicine | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2008-06-25 |
| 1164620738 | Margaret Lekander Dobson | Family Medicine | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2007-07-05 |
| 1407074479 | Christopher Jonathon Frank | Family Medicine | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2007-04-23 |
| 1275610883 | Samuel Edward Romano | Psychologist | 14700 East Old Us 12, Chelsea, MI 48118 | 2006-11-01 |
| 1467541318 | Tarannum Alesia Master-hunter | Family Medicine | 14700 East Old Us 12, Chelsea, MI 48118-1185 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1548731847 | Daniel Mcnerney | Behavior Technician | 107.5 N Main St, Chelsea Mi 48118, MI 48118 | 2018-12-12 |
| 1285177881 | Marla J Field | Counselor | 350 North Main Street, Thriving Minds Family Service, Chelsea, MI 48118 | 2016-11-30 |
| 1093115032 | Elizabeth Spotts | Social Worker | 350 N Main St Ste 220, Chelsea, MI 48118 | 2014-08-27 |
| 1336553239 | Kylene Willsey | Pediatrics | 13699 E Old Us Highway 12, Chelsea, MI 48118 | 2014-06-18 |
| 1730590985 | Vandan Shah | Dermatology | 14650 E. Old Us 12, Suite 308, Chelsea, MI 48118 | 2014-05-09 |
| 1447695952 | James Herbert Botsford | Family Medicine | 201 E. Cedar Lake Dr., Chelsea, MI 48118 | 2013-05-10 |
| 1972864403 | Caroline Nicole Wolfe Wurtzel | Orthopaedic Surgery | 14650 E Old Us Highway 12 Ste 104, Chelsea, MI 48118 | 2012-05-31 |
| 1396019766 | Markus Koch | Mechanotherapist | 21390 Waterloo Rd, Chlesea, MI 48118 | 2012-03-02 |
| 1023305810 | Denise Renae Rokke | Occupational Therapist | 801 W Middle St, Chelsea, MI 48118 | 2011-06-30 |
| Find all providers in zip 48118 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280331 | Nicholas Healt | Physician Assistant | 325 Commandants Way Apt 105, Chelsea, MA 02150-4063 | 2020-09-18 |
| 1497388359 | Sherry Quan Ngo | Physician Assistant | 13302 Luick Dr, Chelsea, MI 48118-9590 | 2020-02-19 |
| 1649303629 | Adele Elizabeth Criss | Physician Assistant | 14650 East Old Us Highway 12, Suite 308, Chelsea, MI 48118 | 2007-03-13 |
| 1528198348 | Mark John Meister | Physician Assistant | 14700 East Old Us Highway 12, Chelsea, MI 48118-1185 | 2007-03-07 |
| 1821695701 | Jane F Chow | Physician Assistant | 325 Commandants Way Apt 105, Chelsea, MA 02150-4063 | 2020-10-05 |
| 1679133136 | Dena Makled | Physician Assistant | 128 Van Buren St, Chelsea, MI 48118-1623 | 2019-06-17 |
| 1225696586 | Alexandra Luella Brown | Physician Assistant | 777 South Main St, Chelsea, MI 48118 | 2019-06-03 |
| 1831756501 | Ellie Nan Mccalla | Physician Assistant | 350 Washington St, Chelsea, MI 48118-1126 | 2019-05-28 |
| 1154988608 | Jana Zeigler | Physician Assistant | 14650 E Old Us Highway 12 Ste 105, Chelsea, MI 48118-1808 | 2019-05-21 |
| 1346722618 | Samantha Brittingham | Physician Assistant | 777 S Main St, Chelsea, MI 48118-1367 | 2018-09-04 |
| Find all providers in CHELSEA | ||||
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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.