DEBRA MARIE KOELZER (NPI# 1154343465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154343465 |
| Entity Type | Individual |
| Full Name | DEBRA MARIE KOELZER |
| Credential | PAC |
| Practice Address |
38807 Ann Arbor Rd Ste 7 Livonia MI 48150 |
| Mailing Address |
38807 Ann Arbor Rd Ste 7 Livonia MI 48150-3896 |
| Practice Telephone | 7349536734 |
| Practice Fax Number | 7349536738 |
| Mailing Telephone | 7349536734 |
| Mailing Fax Number | 7349536738 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003709 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
38807 ANN ARBOR RD STE 7 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021079 | Christina Joy Griffin | Nurse Practitioner | 38807 Ann Arbor Rd, Livonia, MI 48150-3896 | 2018-11-13 |
| 1962914515 | Jocelyn Lee Simpson | Massage Therapist | 38807 Ann Arbor Rd, Livonia, MI 48150-3896 | 2017-11-03 |
| 1154866960 | Anita Thompson | Behavior Technician | 38807 Ann Arbor Rd, 3, Livonia, MI 48150-3896 | 2017-01-03 |
| 1922541002 | Lauren Irene Kenny | Behavior Technician | 38807 Ann Arbor Rd, Suite 3, Livonia, MI 48150-3896 | 2016-11-22 |
| 1326581539 | Cindi Lonick | Behavior Technician | 38807 Ann Arbor Rd, Livonia, MI 48150-3896 | 2016-11-21 |
| 1336695352 | Alyssa Perkins | Behavior Technician | 38807 Ann Arbor Rd, 3, Livonia, MI 48150-3896 | 2016-08-30 |
| 1821544834 | Jenay Williams Walker | Behavior Technician | 38807 Ann Arbor Rd, 3, Livonia, MI 48150-3896 | 2016-08-30 |
| 1942653399 | Lateefah Wooten | Behavior Technician | 38807 Ann Arbor Rd, Unit 3, Livonia, MI 48150-3896 | 2016-07-21 |
| 1033562624 | Diane M Drouillard | Psychologist | 38807 Ann Arbor Rd, Ste 9, Livonia, MI 48150-3896 | 2016-07-19 |
| 1720431653 | Casey Waldeck | Behavioral Analyst | 38807 Ann Arbor Rd, Suite 3, Livonia, MI 48150-3896 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| 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 |
|---|---|---|---|---|
| 1063027977 | Mary Zhen | Physician Assistant | 31083 Fargo St, Livonia, MI 48152-1745 | 2020-09-09 |
| 1861013120 | Nicole Salloum | Physician Assistant | 36167 Meadowbrook St, Livonia, MI 48154-5128 | 2020-04-28 |
| 1710528955 | Shane O'donohue | Physician Assistant | 20114 Mayfield St, Livonia, MI 48152-1303 | 2019-09-30 |
| 1568029791 | Simona Zavedyuk | Physician Assistant | 15055 Hubbard St Apt 34, Livonia, MI 48154-3581 | 2019-05-22 |
| 1003342411 | Jennifer Gracia Villella | Physician Assistant | 9555 Middlebelt Rd, Livonia, MI 48150-3009 | 2017-05-04 |
| 1497121610 | Bradley Coon | Physician Assistant | 36222 5 Mile Rd, Livonia, MI 48154 | 2015-08-12 |
| 1801233614 | Donnell Anthony Gemus Jr. | Physician Assistant | 11502 Middlebelt Rd, Livonia, MI 48150 | 2013-06-03 |
| 1902045891 | Aimee Ruth Lamb | Physician Assistant | 18608 Farmington Rd, Livonia, MI 48152-3261 | 2009-02-17 |
| 1083733810 | Theresa M Sanford | Physician Assistant | 19900 Haggerty Road, Livonia, MI 48152-1054 | 2007-03-29 |
| 1114005550 | Diane M Collin | Physician Assistant | 1990 Haggerty Rd, Livonia, MI 48152-1054 | 2006-11-02 |
| Find all providers in LIVONIA | ||||
Please comment or provide details below to improve the information on DEBRA MARIE KOELZER.
| 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.