MEREDITH COLOSI (NPI# 1134602774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134602774 |
| Entity Type | Individual |
| Full Name | MEREDITH COLOSI |
| Credential | PA-C |
| Practice Address |
44199 Dequindre Rd Ste 315 Troy MI 48085 |
| Mailing Address |
44199 Dequindre Rd Ste 315 Troy MI 48085-1128 |
| Practice Telephone | 3136000338 |
| Mailing Telephone | 3136000338 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1155784 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3290 W Big Beaver Rd Ste 150, Troy, MI 480842931 | 2487926527 |
| Street Address |
44199 DEQUINDRE RD STE 315 |
| City | TROY |
| State | MI |
| Zip Code | 48085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942415849 | Peter G. Perakis | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2007-05-14 |
| 1588222830 | Aaron James Tice | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2019-06-02 |
| 1649731076 | Janelle Maureen Mirch | Physician Assistant | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2019-03-28 |
| 1225427073 | Emily Renee Ankenbrandt | Registered Nurse | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2015-01-16 |
| 1467850768 | Sarah Lynn Vandaele | Physician Assistant | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2014-12-18 |
| 1871929257 | Lisa Anne Sucher | Physician Assistant | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2013-09-18 |
| 1982040382 | Jenna Nicole Overly | Surgery | 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| 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 |
|---|---|---|---|---|
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1275146284 | Abigail Christine Miller | Physician Assistant | 4145 Butternut Hill Dr, Troy, MI 48098-4283 | 2020-08-28 |
| 1649882507 | Laurel Jeanne Seabolt | Physician Assistant | 4426 Holly Dr, Troy, MI 48085-4813 | 2020-08-20 |
| 1477164499 | Megan Turner | Physician Assistant | 3130 N County Rd, Troy, OH 45373-1337 | 2020-08-13 |
| 1487278800 | Rachel Barton | Physician Assistant | 2559 Palmerston Dr, Troy, MI 48084-1021 | 2020-06-01 |
| 1649891375 | Meagan Elizabeth Cuff | Physician Assistant | 3815 Ledge Dr, Troy, MI 48084-1141 | 2020-05-05 |
| 1487298329 | Megan Shelly | Physician Assistant | 2571 Hounds Chase Dr, Troy, MI 48098-2338 | 2019-11-04 |
| 1053952341 | Amanda Kate Livolsi | Physician Assistant | 258 Hoosick St Ste 106, Troy, NY 12180-2446 | 2019-10-08 |
| 1952961377 | Harsimran Grewal | Physician Assistant | 6053 Mayapple Dr, Troy, MI 48085-1065 | 2019-06-18 |
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| Find all providers in TROY | ||||
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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.