KIMBERLY VANDAHM (NPI# 1245609833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245609833 |
| Entity Type | Individual |
| Full Name | KIMBERLY VANDAHM |
| Practice Address |
826 Forest Ave Frankfort MI 49635-9003 |
| Mailing Address |
6227 Frankfort Hwy Benzonia MI 49616-8632 |
| Practice Telephone | 2313525285 |
| Practice Fax Number | 2313526384 |
| Mailing Telephone | 2318829661 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007351 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Michigan St Ne, Grand Rapids, MI 495032560 | 6163913431 | 6163912783 |
| Street Address |
826 FOREST AVE |
| City | FRANKFORT |
| State | MI |
| Zip Code | 49635-9003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770537748 | Crystal Lake Clinic P.C. | Family Medicine | 826 Forest Ave, Frankfort, MI 49635-9003 | 2006-05-22 |
| 1003276197 | Michaela Coffia | Nurse Practitioner | 826 Forest Ave, Frankfort, MI 49635-9003 | 2016-03-02 |
| 1659385219 | Gerard J Mahoney | Family Medicine | 826 Forest Ave, Frankfort, MI 49635 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233767 | Dianna Kay | Technician | 102 Grove Place, Apt 1, Frankfort, MI 49635 | 2019-09-11 |
| 1477047348 | Hygea Home Health Care | Home Health | 119 Airport Rd, Frankfort, MI 49635 | 2018-06-14 |
| 1174911408 | Zachary Cole Peterson | Chiropractor | 615 Main St # 768, Frankfort, MI 49635 | 2015-01-09 |
| 1992806285 | Douglas James Coles | Family Medicine | 917 Main Street, Frankfort, MI 49635 | 2006-09-26 |
| 1083263701 | Third Coast Dental Group, Pllc | Dentist | 2266 Frankfort Hwy, Frankfort, MI 49635 | 2019-09-05 |
| 1437400587 | Celina Jo Comer | Nurse Practitioner | 917 Main St, Frankfort, MI 49635 | 2012-09-28 |
| 1851477277 | Dale Victor Wentzloff | Dentist | 218 Seventh St, Frankfort, MI 49635-0033 | 2006-10-27 |
| 1699824045 | Kevin Reed Nelson | Optometrist | 228 Bellows Avenue, Frankfort, MI 49635-2158 | 2007-01-08 |
| 1992735997 | Francisco Leon Deguia | Surgery | 801 Main St, Frankfort, MI 49635-2246 | 2006-07-04 |
| 1124685854 | Shirley Jean Tranquill | Massage Therapist | 345 Sylvan Rd, Frankfort, MI 49635-8520 | 2019-05-29 |
| Find all providers in zip 49635 | ||||
| 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 |
|---|---|---|---|---|
| 1497710180 | Chrystal Means | Physician Assistant | 1001 Leawood Dr, Frankfort, KY 40601-3375 | 2006-04-18 |
| 1356827794 | Brooke Anne Evans | Physician Assistant | 101 Medical Heights Dr, Frankfort, KY 40601-4137 | 2018-07-18 |
| 1154794980 | Castle Emergency Physicians, LLC | Physician Assistant | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2015-11-02 |
| 1407228356 | Harvest Moon Emergency Physicians, LLC | Physician Assistant | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2015-10-30 |
| 1629415955 | Buffalo Trail Inpatient Services, LLC | Physician Assistant | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2013-05-28 |
| 1356629109 | Adina Nolan | Physician Assistant | 299 Kings Daughters Dr, Frankfort, KY 40601-6514 | 2011-07-27 |
| 1184932808 | Capital Family Physicians | Physician Assistant | 1002 Leawood Dr, Frankfort, KY 40601-3349 | 2010-09-15 |
| 1487827085 | Joshua Jeffrey Soles | Physician Assistant | 224 Park Ave, Frankfort, MI 49635-9036 | 2008-04-04 |
| 1124209317 | Lindsay Jean Cassaro | Physician Assistant | 601 Versailles Rd, Frankfort, KY 40601 | 2007-11-16 |
| 1316022023 | Michael Fulker | Physician Assistant | 224 Park Ave, Frankfort, MI 49635-9658 | 2006-10-25 |
| Find all providers in FRANKFORT | ||||
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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.