MS. MICHELLE DEWINDT (NPI# 1093040784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093040784 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE DEWINDT |
| Credential | P.A.-C |
| Practice Address |
222 W Eulalia St Suite 200 Glendale CA 91204-2849 |
| Mailing Address |
777 Flower St Ste A Glendale CA 91201-3000 |
| Practice Telephone | 8189568582 |
| Practice Fax Number | 8189560329 |
| Mailing Telephone | 8186372000 |
| Mailing Fax Number | 8182428761 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2011-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
20559 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
222 W EULALIA ST SUITE 200 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992798730 | John F Cabrera | Obstetrics & Gynecology | 222 W Eulalia St, Suite 211, Glendale, CA 91204-2849 | 2005-08-26 |
| 1336548940 | Scott Arno | Physician Assistant | 222 W Eulalia St, Glendale, CA 91204-2849 | 2014-08-19 |
| 1043648561 | Glendale Orthopaedics Inc. | Orthopaedic Surgery | 222 W Eulalia St, Suite 300, Glendale, CA 91204-2849 | 2013-10-18 |
| 1508290917 | Moshe Barnajian Md Inc | Colon & Rectal Surgery | 222 W Eulalia St, Suite 100a, Glendale, CA 91204-2849 | 2013-08-22 |
| 1427307230 | Reliance Cardiac Care, Inc. | Internal Medicine | 222 W Eulalia St, Suite 311, Glendale, CA 91204-2849 | 2012-09-07 |
| 1487926663 | Ignacio Valdes, M.d.,a Professional | Obstetrics & Gynecology | 222 W Eulalia St, Suite 211, Glendale, CA 91204-2851 | 2012-02-02 |
| 1477882413 | Robert W Beart, Jr., M.d., Inc | Surgery | 222 W Eulalia St, Suite 100a, Glendale, CA 91204-2849 | 2009-12-22 |
| 1770715369 | Zara Sipan | Internal Medicine | 222 W Eulalia St, #100-b, Glendale, CA 91204-2849 | 2009-08-14 |
| 1962680348 | Edgar Mehdikhani | Internal Medicine | 222 W Eulalia St, Suite 114, Glendale, CA 91204-2849 | 2008-02-07 |
| 1639357114 | Acosta Medical Group, Inc. | Specialist | 222 W Eulalia St, Ste. 201, Glendale, CA 91204-2849 | 2008-02-06 |
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| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
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| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
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| 1417519588 | Elizabeth Lisa Chilian | Physician Assistant | 345 Pioneer Dr Unit 1203, Glendale, CA 91203-2780 | 2019-06-28 |
| 1659846988 | Gabriel Thomas Lopez | Physician Assistant | 7419 W Planada Ln, Glendale, AZ 85310-5886 | 2018-10-13 |
| 1417445487 | Core Geriatric Medical Group LLC | Physician Assistant | 1505 S Glendale Ave, Glendale, CA 91205-3315 | 2018-04-25 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| 1114465598 | Diana Andreea Stan | Physician Assistant | 18555 N 79th Ave Ste B108, Glendale, AZ 85308 | 2017-02-07 |
| 1235687310 | Lynzi Kay Warner | Physician Assistant | 4344 W Bell Rd Ste 102, Glendale, AZ 85308-3589 | 2016-09-16 |
| 1558737791 | Martin Airian | Physician Assistant | 1577 E Chevy Chase Dr Ste 240, Glendale, CA 91206-4742 | 2015-08-11 |
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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.