MICHAEL EMILE GUILLETTE (NPI# 1174512115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174512115 |
| Entity Type | Individual |
| Full Name | MICHAEL EMILE GUILLETTE |
| Credential | PAC |
| Practice Address |
2577 Main Ave Durango CO 81301-5919 |
| Practice Telephone | 9702478382 |
| Practice Fax Number | 9702594403 |
| Mailing Telephone | 9702478382 |
| Mailing Fax Number | 9702594403 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 889 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | L8806 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 604 S Rio Grande Ave, Aztec, NM 874102260 | 5053342664 | 5053347759 |
| Street Address |
2577 MAIN AVE |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204010 | Catholic Health Initiatives | General Acute Care Hospital | 2577 Main Ave, Durango, CO 81301-5919 | 2020-01-13 |
| 1639656085 | Stephanie Noelle Connely | Physician Assistant | 2577 Main Ave, Durango, CO 81301 | 2018-07-27 |
| 1407248644 | Perins Peak Healthcare LLC | Clinic/Center | 2577 Main Ave, Durango, CO 81301-5919 | 2015-02-25 |
| 1245651900 | Four Corners Occupational Medicine Inc | Clinic/Center | 2577 Main Ave, Durango, CO 81301-5919 | 2013-12-26 |
| 1972804748 | Matthew W Byers | Physician Assistant | 2577 Main Ave, Durango, CO 81301 | 2010-11-10 |
| 1992862502 | Lynn Marie Joselyn | Physician Assistant | 2577 Main Ave, Durango, CO 81301-5919 | 2007-01-02 |
| 1063510667 | John William Cartier Jr. | Emergency Medicine | 2577 Main Ave, Durango, CO 81301-5919 | 2006-09-20 |
| 1154354512 | Durango Urgent Care LLC | Clinic/Center | 2577 Main Ave, Durango, CO 81301-5919 | 2006-07-09 |
| 1356394241 | Bethany Crittendon Glotfelty | Physician Assistant | 2577 Main Ave, Durango, CO 81301-5919 | 2006-05-19 |
| 1205890076 | April J Leuzinger | Physician Assistant | 2577 Main Ave, Durango, CO 81301-5919 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| 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 |
|---|---|---|---|---|
| 1588202949 | Breanna Marie Payne | Physician Assistant | 373 Horse Thief Ln, Durango, CO 81301-3106 | 2019-12-17 |
| 1124271960 | Morgan James Manulik | Physician Assistant | 1010 Three Springs Blvd Ste 290, Durango, CO 81301-8296 | 2008-10-24 |
| 1619180361 | Sharon K Kuhn | Physician Assistant | 3235 Main Avenue, Durango, CO 81301 | 2007-05-08 |
| 1861617235 | Daniel Richard Hoff | Physician Assistant | 1000 Rim Dr, Fort Lewis College Health Center, Durango, CO 81301 | 2007-04-13 |
| 1861564122 | Kristin E Pogue | Physician Assistant | 523 S Camino Del Rio Ste B, Durango, CO 81303-6853 | 2006-11-14 |
| 1245208677 | Nancy Rhien | Physician Assistant | 1 Mercado St Ste 105, Durango, CO 81301-7311 | 2006-03-10 |
| 1538135140 | Robert H Hill | Physician Assistant | 450 S Camino Del Rio, Suite 106, Durango, CO 81301-6856 | 2006-02-23 |
| 1790757771 | Kory Lynne Williams | Physician Assistant | 2 Burnett Court, Ste 100, Durango, CO 81301-3647 | 2006-02-03 |
| 1366910036 | Haley Grace Frazier | Physician Assistant | 523 S Camino Del Rio Ste B, Durango, CO 81303-6853 | 2018-11-11 |
| 1639656085 | Stephanie Noelle Connely | Physician Assistant | 2577 Main Ave, Durango, CO 81301 | 2018-07-27 |
| Find all providers in DURANGO | ||||
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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.