MRS. SHANNON M JANSMA (NPI# 1275635898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275635898 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON M JANSMA |
| Credential | PA-C |
| Practice Address |
1325 E Sherman Blvd Muskegon MI 49444-1813 |
| Practice Telephone | 2317378446 |
| Practice Fax Number | 2317370510 |
| Mailing Telephone | 2317378446 |
| Mailing Fax Number | 2317370510 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2013-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601004657 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1325 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770574634 | Kellie A Laskowski | Physician Assistant | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2005-10-31 |
| 1467692442 | Muskegon General Surgery Plc | Surgery | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2009-03-03 |
| 1922285113 | Lakeshore Psychology, Pllc | Community/Behavioral Health | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2008-01-30 |
| 1588708820 | Brian Gluck D.o., P.C. | Surgery | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2007-02-19 |
| 1821132176 | Leonard J. Kurello, D.o. | Urology | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2007-02-19 |
| 1053347500 | Lori Diana Milan | Psychologist | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2006-06-25 |
| 1912972456 | Brian Gluck | Surgery | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2006-02-20 |
| 1174598627 | Leonard John Kurello | Urology | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1114990447 | Julie A Anderson | Physician Assistant | 1560 E Sherman Blvd Ste 309, Muskegon, MI 49444-1850 | 2006-02-08 |
| 1043393150 | Joan M Sullivan | Physician Assistant | 1675 Leahy St, Suite 401a, Muskegon, MI 49442-5500 | 2006-10-23 |
| 1922047042 | Maria Jessica Parsons | Physician Assistant | 1560 E Sherman Blvd, Suite 309, Muskegon, MI 49444-1867 | 2006-06-05 |
| 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 |
| 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 |
| 1881822187 | Shea Mace | Physician Assistant | 6799 West Grand Blvd, Detroit, MI 48202 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
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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.