MATTHEW BROWER (NPI# 1205174604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205174604 |
| Entity Type | Individual |
| Full Name | MATTHEW BROWER |
| Practice Address |
6105 Wilson Ave Sw Suite 101 Wyoming MI 49418-9714 |
| Mailing Address |
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6166088300 |
| Practice Fax Number | 6166088301 |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006586 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6105 WILSON AVE SW SUITE 101 |
| City | WYOMING |
| State | MI |
| Zip Code | 49418-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052265 | David R. Heyboer | Internal Medicine | 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 | 2005-06-09 |
| 1679076533 | Melissa L Mccormick | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-16 |
| 1982106670 | Amanda Rose Travis | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-08 |
| 1568964377 | Kathleen Sue Knopf Simpson | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-07 |
| 1730524398 | West Michigan Heart | Internal Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-05-08 |
| 1528300738 | Spectrum Health Hospitals | Emergency Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-03-26 |
| 1629310826 | Spectrum Health Primary Care Partners | Emergency Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-03-26 |
| 1528370541 | Spectrum Health Primary Care Partners | Internal Medicine | 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418-9714 | 2010-07-07 |
| 1891995536 | Laura M Franey | Internal Medicine | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2007-07-20 |
| 1306968763 | Ryan D Madder | Internal Medicine | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2007-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| 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 |
|---|---|---|---|---|
| 1427686534 | Mason L Hutchens | Physician Assistant | 4246 Stonebridge Dr Sw Apt 8, Wyoming, MI 49519-5225 | 2020-04-01 |
| 1285841841 | Rebecca Anne Hull | Physician Assistant | 2215 44th St Sw, Wyoming, MI 49509-4950 | 2007-05-16 |
| 1609930262 | Jennifer Lynne Swinburne | Physician Assistant | 2221 Health Drive Sw, Suite 2100, Wyoming, MI 49519-9606 | 2006-12-20 |
| 1548377708 | Laura Kooy | Physician Assistant | 585 36th St Sw, Wyoming, MI 49509-4002 | 2006-08-24 |
| 1750498721 | Larry Arnold Brewer | Physician Assistant | 2929 Burlingame S.w., Wyoming, MI 49519 | 2006-08-24 |
| 1922025725 | Elizabeth A Sayers | Physician Assistant | 2122 Health Dr Sw Ste 133, Wyoming, MI 49519-9698 | 2006-07-16 |
| 1720046626 | Sherrill D Busboom | Physician Assistant | 2093 Health Dr Sw Ste 100, Wyoming, MI 49519 | 2006-05-02 |
| 1013524404 | Payton Marsh | Physician Assistant | 2060 Health Dr Sw, Wyoming, MI 49519-9687 | 2020-09-29 |
| 1881223642 | Allison Donth | Physician Assistant | 5838 Metro Way Sw, Wyoming, MI 49519-9619 | 2020-04-03 |
| 1023648235 | Cassandra L Etheridge | Physician Assistant | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-01-16 |
| Find all providers in WYOMING | ||||
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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.