KATHERINE L VANDERLAAN (NPI# 1255605283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255605283 |
| Entity Type | Individual |
| Full Name | KATHERINE L VANDERLAAN |
| Credential | PA |
| Practice Address |
2700 Robert T Longway Blvd Ste B Flint MI 48503-2190 |
| Practice Telephone | 8102352004 |
| Practice Fax Number | 8102352841 |
| Mailing Telephone | 8102352004 |
| Mailing Fax Number | 8102352841 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006240 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2700 ROBERT T LONGWAY BLVD STE B |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669567806 | Physician Coverage Services PC | Pediatrics | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2006-10-04 |
| 1063063170 | Sinclaire T Chapman | Nurse Practitioner | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2019-09-20 |
| 1114496445 | Rachel Amanda Smith | Nurse Practitioner | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2018-11-15 |
| 1437638970 | Ivy Arselyn L Landoy | Nurse Practitioner | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503 | 2018-08-07 |
| 1952807588 | Pointe Dort Pharmacy,pllc | Pharmacy | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2018-04-03 |
| 1346765583 | Jodi Lynn Ternan | Nurse Practitioner | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2017-08-09 |
| 1922551019 | Abdul Aleem | Internal Medicine | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2016-07-26 |
| 1265729370 | Abed Kanzy Abbas Kanzy | Internal Medicine | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2011-07-09 |
| 1033410451 | Cherrell Monik Shells | Clinical Nurse Specialist | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2010-11-17 |
| 1750568549 | Physician Coverage Services P.C. | Clinic/Center | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2008-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1992107684 | Benjamin James Busuito | Physician Assistant | 225 E 5th St Ste 300, Flint, MI 48502-1641 | 2014-09-24 |
| 1558632224 | Barbara Carol Steer | Physician Assistant | 1289 S Linden Rd Ste B, Flint, MI 48532-3499 | 2012-01-26 |
| 1992251995 | Joseph Galard IIi | Physician Assistant | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-08-30 |
| 1366997520 | Margaret Hall Noger | Physician Assistant | 5494 S Dort Hwy, Flint, MI 48507-4483 | 2016-08-17 |
| 1427439900 | Natalia Migas | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2015-06-10 |
| 1144620758 | Stephanie Ann Ventvrini | Physician Assistant | 2 Hurley Plaza, Suite 209, Flint, MI 48503 | 2014-09-02 |
| 1316359128 | Nathan Lee Arnold | Physician Assistant | 4466 W Bristol Rd, Flint, MI 48507-3170 | 2014-05-28 |
| 1467890491 | Jessica Joy Jefferies | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2013-06-12 |
| 1447512819 | Gary Fannon | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2012-06-12 |
| Find all providers in FLINT | ||||
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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.