CALLIE SEYBERT (NPI# 1326506718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326506718 |
| Entity Type | Individual |
| Full Name | CALLIE SEYBERT |
| Other Name | CALLIE COVINS |
| Credential | PA-C |
| Practice Address |
4200 Whitehall Dr Ste 150 Ann Arbor MI 48105-9694 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7349950308 |
| Practice Fax Number | 7349950425 |
| Mailing Telephone | 7347476766 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601009007 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN LICENSE | 5601009007 | 01 |
| Street Address |
4200 WHITEHALL DR STE 150 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992783906 | Sally Villasenor | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2006-01-09 |
| 1356837504 | Chaz Hernandez | Physician Assistant | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2018-07-10 |
| 1750880589 | Olivia Glidden | Physician Assistant | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2018-02-07 |
| 1386160539 | Amy Lynn Cesnick | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2017-08-19 |
| 1043663743 | Nicole Kremer | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2016-07-18 |
| 1902277932 | Lisa Marie Fetters | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2015-10-16 |
| 1578950804 | Justin Michael Rutt | Family Medicine | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105 | 2015-04-24 |
| 1740682590 | Sarah C Blau | Physician Assistant | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2014-09-24 |
| 1144581166 | Lauren Rae Barhitte | Nurse Practitioner | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2012-06-06 |
| 1639445125 | Eric Adam Fine | Emergency Medicine | 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105-9694 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174626519 | Daniel Arthur Barber | Physician Assistant | 2000 Green Rd Ste 300, Ann Arbor, MI 48105-1575 | 2006-09-07 |
| 1629516083 | Daniel Richard Wingard | Physician Assistant | 1500 East Medical Center Dr, 3rd Floor Taubman Center Recp C, Ann Arbor, MI 48109-5360 | 2017-02-06 |
| 1306299649 | Adam Lucas Ihrig | Physician Assistant | 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 | 2016-07-22 |
| 1316285281 | Brian Daniel Lent | Physician Assistant | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2013-01-28 |
| 1669722047 | Jeffery James Cornell | Physician Assistant | 2000 Green Rd, Ste 300, Ann Arbor, MI 48105-1598 | 2012-09-13 |
| 1144576109 | Micah Adam Miller | Physician Assistant | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2012-07-27 |
| 1548449929 | Suhair Gulli | Physician Assistant | 1500 East Medical Center Dr, 1st Floor Taubman Center Recp A, Ann Arbor, MI 48109-5312 | 2007-11-01 |
| 1942400775 | Adrianne M Neff | Physician Assistant | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2007-07-19 |
| 1093834814 | William Bradford Mosher | Physician Assistant | 207 Fletcher St, Ann Arbor, MI 48109-1050 | 2007-03-29 |
| 1407935729 | Beverly Ann Bowman | Physician Assistant | 1500 East Medical Center Drive, 3rd Floor Cardiovascular Center, Ann Arbor, MI 48109-5856 | 2006-11-06 |
| Find all providers in ANN ARBOR | ||||
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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.