GRETCHEN LEFFLER


Address: 5629 Stadium Drive, Suite D, Kalamazoo, MI 49009-1952
Phone: 2693725701

GRETCHEN LEFFLER (NPI# 1255457677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255457677
Entity Type Individual
Full Name GRETCHEN LEFFLER
Other Name GRETCHEN MICHALOWSKI (LEFFLER)
Credential PAC
Practice Address 5629 Stadium Drive
Suite D
Kalamazoo
MI 49009-1952
Mailing Address 5629 Stadium Dr
Suite D
Kalamazoo
MI 49009-1952
Practice Telephone 2693725701
Practice Fax Number 2693725702
Mailing Telephone 2693725701
Mailing Fax Number 2693725702
Enumeration Date 2007-03-21
Last Update Date 2020-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601004107 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1255457677 05
MI BCBSM 700C910950 01

Office Location

Street Address 5629 STADIUM DRIVE
SUITE D
City KALAMAZOO
State MI
Zip Code 49009-1952

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396235222 Cherian Counseling Pllc Marriage & Family Therapist 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 2018-05-16
1316450901 Joslyn Aneice Johnson Student in an Organized Health Care Education/Training Program 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 2017-11-06
1063931160 Morgan Lee Baughman Social Worker 2555 S 11th St. Suite B, Kalamazoo, MI 49009 2017-09-11
1811416845 Karen Sue Franks Registered Nurse 615 E. Crosstown Parkway, Kalamazoo, MI 49009 2017-09-11
1780102327 Jonathan Robert Klok Counselor 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 2017-09-04
1730624339 Optimed Health Partners Inc Home Infusion 6480 Technology Ave Suite A, Kalamazoo, MI 49009 2017-01-05
1063961860 Christine Murphy Lee Physician Assistant 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 2016-09-22
1558732297 West Point Optical Group Optometrist 575 S Drake Rd, Kalamazoo, MI 49009 2015-10-07
1386021012 Leonora Tarantino Physical Therapist 9303 W P Ave, Kalamazoo, MI 49009 2015-05-01
1720474836 Alyssa Sutter Rehabilitation Practitioner 5990 Venture Park Dr., Kalamazoo, MI 49009 2015-04-15
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013516194 Rebecca Mary Cronin Physician Assistant 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 2020-10-20
1619574654 Conor Mccabe Physician Assistant 2413 Logan Ave, Kalamazoo, MI 49008-3949 2020-10-02
1134766942 Scott E Boyd Physician Assistant 8071 N 6th St, Kalamazoo, MI 49009-8808 2019-12-01
1720566847 Lydia Chardel Bruenjes Physician Assistant 6565 W Main St #100, Kalamazoo, MI 49009-9199 2018-07-31
1396263943 Travis Todd Turrell Physician Assistant 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 2017-09-05
1467901892 Brian Christopher Rensch Physician Assistant 916 Austin St, Kalamazoo, MI 49008-1105 2016-09-27
1427415462 Katelyn Vasicek Physician Assistant 601 John St Ste M-302, Kalamazoo, MI 49007 2016-01-21
1598168874 Melissa Shields Physician Assistant Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 2014-10-01
1700291549 Lauren Gilbertson Physician Assistant 1722 Shaffer St Ste 3, Kalamazoo, MI 49048-1633 2014-06-30
1447445002 Jennifer Hurtt Physician Assistant 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 2007-09-07
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49009

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Dataset Information

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.

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