MR. DOUGLAS JAY SYTSMA II (NPI# 1396252557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396252557 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS JAY SYTSMA II |
| Practice Address |
2236 Brook Dr Kalamazoo MI 49048-2806 |
| Mailing Address |
3075 Orchard Vista Dr Se Grand Rapids MI 49546-7069 |
| Practice Telephone | 2694927205 |
| Mailing Telephone | 6163018000 |
| Mailing Fax Number | 6163018010 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3075 Orchard Vista Dr Se, Grand Rapids, MI 495467069 | 6163018000 | 6163018010 |
| Street Address |
2236 BROOK DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023369139 | Eric Herman | Rehabilitation Counselor | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2012-09-28 |
| 1144839572 | Christine Piazza | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-07-31 |
| 1275142655 | Makenzie Ann Kuhns | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-07-30 |
| 1639795115 | Brooke Marianna Shirley | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-06-22 |
| 1356974455 | Jada Kristine Lassiter | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-02-17 |
| 1588296685 | Katrina Ann Jones | Licensed Practical Nurse | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-02-06 |
| 1699307066 | Gabrielle N Marsh | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-02-04 |
| 1508409764 | Sara Fleury | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2019-10-21 |
| 1689222630 | Ahlana Lawshea | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2019-09-03 |
| 1841782646 | Madison Elysse Mccartney | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831746486 | Joyce Ann Maloney | Technician | 3408 Olney Rd, Kalamazoo, MI 49006-2834 | 2019-08-19 |
| 1508342361 | Dorian Reed | Technician | 704 Gilbert Ave, Kalamazoo, MI 49048-1725 | 2018-07-16 |
| 1235737495 | Brenna Wirth | Technician | 925 Parker Ave, Kalamazoo, MI 49008-3141 | 2020-10-10 |
| 1104423102 | Sudhanva Neti | Technician | 925 Parker Ave, Kalamazoo, MI 49008-3141 | 2020-10-03 |
| 1669085791 | Brandy Miller | Technician | 925 Parker Ave, Kalamazoo, MI 49008-3141 | 2020-08-28 |
| 1144839572 | Christine Piazza | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-07-31 |
| 1275142655 | Makenzie Ann Kuhns | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-07-30 |
| 1639795115 | Brooke Marianna Shirley | Technician | 2236 Brook Dr, Kalamazoo, MI 49048-2806 | 2020-06-22 |
| 1619591351 | Rachael Ann Redmond | Technician | 925 Parker Ave, Kalamazoo, MI 49008-3141 | 2020-05-28 |
| 1922620392 | Nora Owens | Technician | 925 Parker Ave, Kalamazoo, MI 49008-3141 | 2020-05-08 |
| Find all providers in KALAMAZOO | ||||
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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.