MR. JOEL LESTER PESTRUE (NPI# 1205027075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205027075 |
| Entity Type | Individual |
| Full Name | MR. JOEL LESTER PESTRUE |
| Credential | P.A. |
| Practice Address |
5939 N Huron Rd # Us23 Oscoda MI 48750-9710 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9897391441 |
| Practice Fax Number | 9897396093 |
| Mailing Telephone | (989) 362-9411 |
| Mailing Fax Number | 9893629925 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5939 N HURON RD # US23 |
| City | OSCODA |
| State | MI |
| Zip Code | 48750-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962907105 | Moira Maus | Occupational Therapist | Aune Medical Center, 5671 N. Skeel Avenue, Oscoda, MI 48750 | 2018-03-29 |
| 1760938310 | Mark Jordan | Pharmacist | 5719 Us 23, Oscoda, MI 48750 | 2016-09-01 |
| 1942560933 | Jennifer L Broers | Dentist | 5671 N. Skeel Ave., Suite 8, Oscoda, MI 48750 | 2012-05-23 |
| 1386957355 | Trudi Lynn Marsh | Social Worker | 5671 N. Skeel Ave, Suite 6, Oscoda, MI 48750 | 2010-07-20 |
| 1508184425 | Calvin J. Maestro Jr. | Family Medicine | 9100b Wyoming St, Oscoda, MI 48750 | 2010-05-17 |
| 1285957597 | Sheila Diane Payea | Pharmacist | 5719 N Us23, Oscoda, MI 48750 | 2010-03-02 |
| 1225269152 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 109 Evergreen, Oscoda, MI 48750 | 2009-07-27 |
| 1992957534 | Tara Elann Swanton | Dentist | 4460 East County Road F-41, Oscoda, MI 48750 | 2008-10-15 |
| 1629276456 | Oscoda Area Chiropractic Center | Chiropractor | 5671 N Skeel Avenue, Oscoda, MI 48750 | 2007-07-03 |
| 1760554539 | Terry David Trombley | Chiropractor | 5671 N Skeel, Oscoda, MI 48750 | 2006-11-15 |
| Find all providers in zip 48750 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JOEL LESTER PESTRUE.
| 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.