CALEB YEARGAN (NPI# 1073965083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073965083 |
| Entity Type | Individual |
| Full Name | CALEB YEARGAN |
| Practice Address |
850 W Baraga Ave Marquette MI 49855-4550 |
| Mailing Address |
975 E 3rd St Chattanooga TN 37403-2147 |
| Practice Telephone | 9064493000 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2020-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704366480 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
21363 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 975 E 3rd St, Chattanooga, TN 374032147 | 4237789101 |
| Street Address |
850 W BARAGA AVE |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417905258 | George Alan Krzymowski | Pathology | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2006-05-04 |
| 1255939500 | Ashley Barbara Veale | Physician Assistant | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-10-09 |
| 1992328942 | Miles Wenger | Registered Nurse | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-05-26 |
| 1700409141 | Megan Lynn Prange | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-05-20 |
| 1073148409 | Rachel Bonsall | Nurse Practitioner | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-03-05 |
| 1699306225 | Sarah Jean Bannan | Family Medicine | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2020-02-02 |
| 1386283067 | Joshua Rajala | Nurse Anesthetist, Certified Registered | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-12-30 |
| 1740824564 | Kelly Rose | Nurse Practitioner | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-11-05 |
| 1679115554 | Sara Marie Sauve | Registered Nurse | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-10-12 |
| 1336793280 | Breanna Zehnder | Student in an Organized Health Care Education/Training Program | 850 W Baraga Ave, Marquette, MI 49855-4550 | 2019-07-30 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599027 | Alexandra Folz | Nurse Practitioner | 1219 N 3rd St, Marquette, MI 49855-3009 | 2005-06-22 |
| 1215994454 | Marquette General Hospital, Inc. | Nurse Practitioner | 1414 W Fair Ave, Ste 111, Marquette, MI 49855-2675 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
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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.