MR. TRAVIS M BROWN (NPI# 1235465931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235465931 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS M BROWN |
| Credential | PA |
| Practice Address |
505 N Jackson St Jackson MI 49201-1266 |
| Mailing Address |
3955 Patient Care Dr Ste A Lansing MI 48911-4271 |
| Practice Telephone | 5177485500 |
| Practice Fax Number | 5177809286 |
| Mailing Telephone | 5179080882 |
| Mailing Fax Number | 5179080886 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005570 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508242868 | Travis Scott Brown | Physical Therapist | 1509 Deer Park Ln, Surfside Beach, SC 29575-5245 | 2015-08-09 |
| 1306250279 | Travis James Brown | Nurse Practitioner | 29934 July Rd, La Plata, MO 63549-3129 | 2014-06-18 |
| 1588847610 | Travis Gregory Brown | Family Medicine | 423 E Main St Ste 3, Midlothian, TX 76065-3345 | 2007-12-12 |
| 1568061687 | Travis D Brown | Behavior Technician | 1081 Thornberry Dr, Madisonville, KY 42431-1672 | 2020-10-20 |
| 1548899313 | Travis Dillon Brown | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-04-03 |
| 1326675141 | Travis Brown | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2020-03-23 |
| 1730656414 | Travis Brown | Case Manager/Care Coordinator | 10050 Bassett Rd, Athens, OH 45701-3626 | 2018-10-31 |
| 1245601772 | Travis H Brown | Counselor | 2814 S 108th St, West Allis, WI 53227-3224 | 2015-10-09 |
| 1134515661 | Travis Brown | Radiology | 2301 Holmes St, Kansas City, MO 64108-2640 | 2015-04-10 |
| 1699168484 | Travis Brown | Military Health Care Provider | 1355 Helicopter Rd, Virginia Beach, VA 23459-8937 | 2015-03-18 |
| Street Address |
505 N JACKSON ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357055 | Miraflor Reyes | Pediatrics | 505 N Jackson St, Jackson, MI 49201-1266 | 2005-06-28 |
| 1205441193 | Alexis Roe | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-09-09 |
| 1760004824 | Heather Rae Shoffstall Mcalvey | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-05-12 |
| 1003456955 | Karen Lizeth Hernandez Martinez | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-01-08 |
| 1720552078 | Leon Puttler | Psychologist | 505 N Jackson St, Jackson, MI 49201-1266 | 2019-01-18 |
| 1265918924 | Jenna Prater | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-16 |
| 1467938449 | Jaskarandeep Singh | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-13 |
| 1215423744 | Gurpinderjit Virk | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1528554052 | Supreet Bains | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| 1053807578 | Mahad Rayale | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| 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 |
|---|---|---|---|---|
| 1942834494 | Emily Amburn | Physician Assistant | 2968 N Highland Ave, Jackson, TN 38305-3409 | 2020-02-24 |
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1972161891 | Allison Taylor | Physician Assistant | 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2019-06-05 |
| 1306302328 | Chloe A Goldfarb | Physician Assistant | 21 Shoal Rd, Jackson, NJ 08527-4025 | 2019-02-14 |
| 1447722558 | Casey James Elliott | Physician Assistant | 747 Oakwood St, Jackson, MS 39202-1121 | 2018-12-31 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1982194551 | Samantha Lynn Denoville | Physician Assistant | 1 Kensington Ct, Jackson, NJ 08527-1292 | 2018-05-18 |
| 1104320308 | Dalton Glenn Weaver | Physician Assistant | 708 N Highland Ave, Jackson, TN 38301-4829 | 2018-03-21 |
| 1336669258 | Whitney J Peterson | Physician Assistant | 501 Marshall St Ste 301, Jackson, MS 39202-1687 | 2017-06-21 |
| 1922541093 | Jacob Carpenter | Physician Assistant | 2497 N West St, Jackson, MS 39216-4409 | 2016-11-22 |
| Find all providers in JACKSON | ||||
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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.