ELIZABETH MCCOMB (NPI# 1205204898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205204898 |
| Entity Type | Individual |
| Full Name | ELIZABETH MCCOMB |
| Other Name | ELIZABETH WATSON |
| Credential | PA-C |
| Practice Address |
2134 Hampton Pl Okemos MI 48864-3691 |
| Mailing Address |
1606 Cahill Dr East Lansing MI 48823-4727 |
| Practice Telephone | 5173473000 |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2018-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007536 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2134 HAMPTON PL |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689649527 | Ibrahim Shah | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-02-22 |
| 1962032458 | Emily Van Hoogstraat | Nurse Practitioner | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2020-01-23 |
| 1629588108 | Jessie Jean Mcwaters | Physician Assistant | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2017-10-10 |
| 1336491232 | Mclaren Greater Lansing | Physician Assistant | 2134 Hampton Pl, Okemos, MI 48864 | 2012-10-03 |
| 1205100070 | Muhammad Awais Kang | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864 | 2012-02-26 |
| 1316240567 | Mclaren Greater Lansing | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2010-12-09 |
| 1811223498 | Teresa Marie Wertheimer | General Practice | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2009-11-02 |
| 1295949030 | Mohan C Madala | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2007-05-10 |
| 1699849752 | Katherine A England | Nurse Practitioner | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-11-20 |
| 1982639704 | Paul Martin Zack | Internal Medicine | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| 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 |
|---|---|---|---|---|
| 1740412055 | Adam Francis Montero | Physician Assistant | 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 | 2009-08-20 |
| 1144326737 | Vida Hb Klott | Physician Assistant | 2205 Jolly Rd Ste B, Okemos, MI 48864-3983 | 2006-09-15 |
| 1407951015 | Katherine E Young | Physician Assistant | 2270 Jolly Oak Rd Ste 1, Okemos, MI 48864-6932 | 2006-09-14 |
| 1922605120 | Katie Guo Zhong | Physician Assistant | 3413 Woods Edge, Okemos, MI 48864-5901 | 2020-10-01 |
| 1497303440 | Marisa Parker Yellin | Physician Assistant | 2090 Jolly Rd Ste 150, Okemos, MI 48864-6036 | 2019-09-03 |
| 1730677238 | Jacob Mark Clapper | Physician Assistant | 2090 Jolly Rd, Okemos, MI 48864-3996 | 2018-04-30 |
| 1568961217 | Rachael Elizabeth Farrell | Physician Assistant | 3413 Woods Edge, Okemos, MI 48864-5901 | 2018-02-08 |
| 1629588108 | Jessie Jean Mcwaters | Physician Assistant | 2134 Hampton Pl, Okemos, MI 48864-3691 | 2017-10-10 |
| 1720445810 | Troy C Thielen | Physician Assistant | 2270 Jolly Oak Rd, Suite 1, Okemos, MI 48864-3542 | 2016-01-21 |
| 1114193356 | Kipp Edward Rustenholtz | Physician Assistant | 1881 W Grand River Ave, Okemos, MI 48864-1840 | 2008-05-07 |
| Find all providers in OKEMOS | ||||
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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.