BLAYNE DAVID BAGGETT (NPI# 1114382637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114382637 |
| Entity Type | Individual |
| Full Name | BLAYNE DAVID BAGGETT |
| Practice Address |
305 N Leroy St Fenton MI 48430-2729 |
| Practice Telephone | 8106299200 |
| Practice Fax Number | 8106299653 |
| Mailing Telephone | 8106299200 |
| Mailing Fax Number | 8106299653 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007628 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
305 N LEROY ST |
| City | FENTON |
| State | MI |
| Zip Code | 48430-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912904772 | Eric Scott Seiger | Dermatology | 305 N Leroy St, Fenton, MI 48430-2729 | 2005-07-07 |
| 1588067904 | Julie Christine Pfeifle | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2014-09-30 |
| 1740620970 | Aimee Gayle Adams | Nurse Practitioner | 305 N Leroy St, Fenton, MI 48430-2729 | 2013-07-02 |
| 1447582234 | Aya Restrepo | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2010-02-04 |
| 1942219621 | Sean Rayl Stephenson | General Practice | 305 N Leroy St, Fenton, MI 48430-2729 | 2006-08-05 |
| 1174565600 | Svc Dermatology PC | Dermatology | 305 N Leroy St, Fenton, MI 48430-2729 | 2006-06-11 |
| 1619921913 | Daniel J Cirka | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| 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 |
|---|---|---|---|---|
| 1215486733 | Angela Carol Braun | Physician Assistant | 2419 Grove Park Rd, Fenton, MI 48430-1443 | 2016-09-26 |
| 1518325059 | Jamie Wolverton | Physician Assistant | 8162 Driftwood Dr, Fenton, MI 48430-9046 | 2016-01-28 |
| 1528088051 | Tori Renee Sutton | Physician Assistant | 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 | 2006-07-20 |
| 1588067904 | Julie Christine Pfeifle | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2014-09-30 |
| 1083015788 | Melissa Littell | Physician Assistant | 17200 Silver Pkwy, Fenton, MI 48430-4437 | 2014-09-12 |
| 1770832792 | Fenton Emergency Group LLC | Physician Assistant | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2012-09-05 |
| 1396044780 | Mindy Marie Carney | Physician Assistant | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2011-03-24 |
| 1447582234 | Aya Restrepo | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2010-02-04 |
| 1942227483 | Beth C Weber | Physician Assistant | 714 Gravois Rd, Ste 210, Fenton, MO 63026-7723 | 2006-07-17 |
| 1134165632 | Fenton Medical Center | Physician Assistant | 102 N Adelaide St, Fenton, MI 48430-2670 | 2006-06-22 |
| Find all providers in FENTON | ||||
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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.