MR. KEVIN E SPRAGUE (NPI# 1306982079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306982079 |
| Entity Type | Individual |
| Full Name | MR. KEVIN E SPRAGUE |
| Credential | PT |
| Practice Address |
1595 W Sherman Blvd Muskegon MI 49441-3542 |
| Mailing Address |
4358 Carolyn St Muskegon MI 49444-4468 |
| Practice Telephone | 2317554404 |
| Practice Fax Number | 2317557704 |
| Mailing Telephone | 2317331401 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 5501006200 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE ID | 0P16250 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578108999 | Kevin Michael Sprague | Physician Assistant | 5535 Pine Cir, Coral Springs, FL 33067-2930 | 2019-11-08 |
| 1063728418 | Kevin J Sprague II | Emergency Medicine | 2800 Main St, Emergency Department, Bridgeport, CT 06606-4201 | 2010-08-24 |
| 1447221411 | Kevin J Sprague | Orthopaedic Surgery | 5452 Fort St Ste 200, Trenton, MI 48183-4638 | 2006-01-30 |
| Street Address |
1595 W SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908315 | Rachel Marie Glavich | Social Worker | 1595 W Sherman Blvd, Muskegon, MI 49441-3542 | 2017-05-01 |
| 1447443072 | Diversified Physical Therapy | Physical Therapist | 1595 W Sherman Blvd, Muskegon, MI 49441-3542 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1528496189 | Pamela Marie Duvallbateman | Contractor | 349 Jackson Ave, Attn: Home Office of Chain, Muskegon, MI 49442-1114 | 2013-10-17 |
| 1093124091 | Jerone Williams | Contractor | 349 Jackson Ave, Breakthrough Believers, Muskegon, MI 49442-1114 | 2014-08-05 |
| 1083034797 | Alan Huron | Contractor | 349 Jackson Ave, Breakthrough Believers Recovery and Healing Center, Muskegon, MI 49442-1114 | 2014-04-21 |
| 1548421654 | Thomas Andrew Dixon | Contractor | 635 W Summit Ave, Muskegon, MI 49441-4190 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861693 | Asset Health, Inc. | Contractor | 2250 Butterfield Dr Ste 100, Troy, MI 48084-3411 | 2020-11-05 |
| 1740888122 | Mosobalaje I Adewole | Contractor | 22448 Hallcroft Trl, Southfield, MI 48034-5498 | 2020-10-16 |
| 1689272833 | Michael Onwuegbuna | Contractor | 4057 Radcliff Dr, Canton, MI 48188-7236 | 2020-10-10 |
| 1366075053 | David Begley | Contractor | 4286 Welch Rd, Attica, MI 48412-9394 | 2020-02-20 |
| 1174155709 | Barbara S Kosten | Contractor | 7622 Collins Rd, Fenwick, MI 48834-9535 | 2020-02-11 |
| 1780229880 | Terri Dallas | Contractor | 59 Seward St Apt 603, Detroit, MI 48202-2431 | 2019-11-12 |
| 1033763347 | Latrese Tucker | Contractor | 9600 Wyoming, Detroit, MI 48204 | 2019-07-25 |
| 1700443033 | Payroll & Accounting Services LLC | Contractor | 20600 Eureka Rd Ste 220, Taylor, MI 48180-6337 | 2019-05-22 |
| 1659934669 | Jeffrey Paul Cates | Contractor | 826 W 11 Mile Rd, Madison Heights, MI 48071-3102 | 2019-04-16 |
| 1073073516 | Simba Mujuru | Contractor | 7115 Orchard Lake Rd Ste 220, West Bloomfield, MI 48322-3655 | 2019-03-21 |
| 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.