DR. JOHN G FATA (NPI# 1346394772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346394772 |
| Entity Type | Individual |
| Full Name | DR. JOHN G FATA |
| Credential | MD |
| Practice Address |
1500 S Main St Eaton Rapids MI 48827-1952 |
| Practice Telephone | 5176639555 |
| Practice Fax Number | 5176633430 |
| Mailing Telephone | 5176639555 |
| Mailing Fax Number | 5176633430 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301061176 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1500 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803087 | Tess Marie Powell | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-08-27 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1306467238 | Mclaren Central Michigan | Clinic/Center | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2020-05-01 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1730660689 | Laura Squier | Occupational Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-08-28 |
| 1861986317 | Matthew Weber Austin | Counselor | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-19 |
| 1447742465 | Meggen M Baynes | Nurse Practitioner | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-05 |
| 1750883625 | Jessica Mae Seguin | Speech-Language Pathologist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-06 |
| 1912409376 | Staci Feldpausch | Physical Therapy Assistant | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-03-01 |
| 1750882312 | Blake Mueller | Physical Therapist | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1285824805 | Paul D Hankenson Do PC | General Practice | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2007-07-30 |
| 1487893665 | Teresa Gwen Miller | Physical Therapy Assistant | 118 Lansing St, Eaton Rapids, MI 48827-1024 | 2009-02-12 |
| 1295875284 | Central Pharmacy- Eaton Rapids, LLC | Pharmacy | 122-124 S Main Street, Eaton Rapids, MI 48827-1068 | 2007-02-07 |
| Find all providers in zip 48827 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730237165 | Eaton Rapids Medical Center | Emergency Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2007-01-08 |
| 1942267778 | Bradley J Garrett | Emergency Medicine | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2006-04-26 |
| 1629033444 | Thomas Alan Kelly | Emergency Medicine | 101 E Spicerville Hwy, Eaton Rapids, MI 48827-1919 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| Find all providers with the same taxonomy | ||||
| City | EATON RAPIDS |
| Zip Code | 48827 |
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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.