MS. KAREN C MAGOWAN (NPI# 1245224161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245224161 |
Entity Type | Individual |
Full Name | MS. KAREN C MAGOWAN |
Credential | PA |
Practice Address |
47601 Grand River Ave Novi MI 48374-1233 |
Practice Telephone | 2484653157 |
Practice Fax Number | 2484653784 |
Mailing Telephone | 2484653157 |
Mailing Fax Number | 2484653784 |
Enumeration Date | 2005-09-07 |
Last Update Date | 2016-01-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005688 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA HMO | 200107998 | 01 | |
AETNA PPO | 200107998 | 01 |
Street Address |
47601 GRAND RIVER AVE |
City | NOVI |
State | MI |
Zip Code | 48374-1233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265431696 | Colleen Larose Miele | Pediatrics | 47601 Grand River Ave, B233, Novi, MI 48374-1233 | 2005-07-19 |
1821610478 | Harjot Gill | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-16 |
1417578147 | Sean Patrick Hohl | Registered Nurse | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-05 |
1952946972 | Adam C Donnellon | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-11-13 |
1508412826 | Kathleen Ruffolo | Nurse Practitioner | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-08-13 |
1073167532 | Candace Lee Hogrefe | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374 | 2019-08-01 |
1134780794 | Taylor Garland | Physician Assistant | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-25 |
1881253375 | Alessandra Vincenza Palazzolo | Internal Medicine | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-06-10 |
1598238172 | Lisa Hydorn | Nurse Anesthetist, Certified Registered | 47601 Grand River Ave, Novi, MI 48374-1233 | 2019-01-07 |
1558863365 | Jocelyn Cartujano Baisa | Physical Therapist | 47601 Grand River Ave, Novi, MI 48374-1233 | 2018-03-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902916570 | Alexander - Robertson IIi | Physician Assistant | 44645 Kerri Ct, Novi, MI 48375-1573 | 2006-08-30 |
1346885910 | Merissa May Garmo | Physician Assistant | 30880 Beck Rd, Novi, MI 48377-1000 | 2019-11-07 |
1053893263 | Jessica L Gelfand | Physician Assistant | 26750 Providence Pkwy Ste 200, Novi, MI 48374-1212 | 2018-09-04 |
1710390950 | Matthew David Paradiso | Physician Assistant | 47601 Grand River Ave, Providence Park Hospital, Novi, MI 48374 | 2014-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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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.