GARY DETWEILER (NPI# 1396797924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797924 |
| Entity Type | Individual |
| Full Name | GARY DETWEILER |
| Credential | PA-C |
| Practice Address |
475 S State St Sparta MI 49345-1549 |
| Mailing Address |
245 State St Se Grand Rapids MI 49503-4328 |
| Practice Telephone | 6166851300 |
| Practice Fax Number | 6168875989 |
| Mailing Telephone | 6166851808 |
| Mailing Fax Number | 6166851850 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2009-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002961 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199520 | Gary Robert Detweiler | Chiropractor | 3529 Virginia Beach Blvd, Virginia Beach, VA 23452-4421 | 2005-07-26 |
| Street Address |
475 S STATE ST |
| City | SPARTA |
| State | MI |
| Zip Code | 49345-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421757 | Mercy Health Partners | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2019-11-14 |
| 1699310649 | Mercy Health Partners | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2019-11-14 |
| 1780166223 | Elisa Perez-arellano | Social Worker | 475 S State St, Sparta, MI 49345-1549 | 2018-08-31 |
| 1245769744 | Trinity Health - Michigan | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2017-06-08 |
| 1447611082 | Julie Anne Vandermale | Physician Assistant | 475 S State St, Sparta, MI 49345-1549 | 2016-03-10 |
| 1942614185 | Jarrad Utter | Family Medicine | 475 S State St, Sparta, MI 49345-1549 | 2014-06-16 |
| 1356555726 | Amy Lynn Werling | Physician Assistant | 475 S State St, Sparta, MI 49345-1549 | 2007-05-09 |
| 1760599906 | Advantage Health/saint Mary's Medical Group | Clinic/Center | 475 S State St, Sparta, MI 49345 | 2006-08-24 |
| 1588689210 | John H Schneider | Family Medicine | 475 S State St, Sparta, MI 49345-1549 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278105 | Sunkyo Seo | Dentist | 628 Lake Gerald Ct Ne, Sparta, MI 49345 | 2017-07-25 |
| 1811223050 | Freeland Chiropractic Center P.C. | Chiropractor | 200 East Division Street, Sparta, MI 49345 | 2009-10-22 |
| 1306064720 | Intercare Community Health Network | Clinic/Center | 540 South State Street, Sparta, MI 49345 | 2007-04-23 |
| 1861616427 | Ann Elizabeth Fox | Physical Therapist | 31 Ida Red Avenue, Sparta, MI 49345 | 2007-04-12 |
| 1336215953 | George David Freeland | Chiropractor | 200 E Division, Sparta, MI 49345 | 2006-11-27 |
| 1033204557 | Dennis L Radke | Dentist | 72 East Division, Sparta, MI 49345 | 2006-10-03 |
| 1437190469 | John Stephen Lange | Dentist | 62 N Union, Sparta, MI 49345 | 2006-06-09 |
| 1659335172 | Home Town Pharmacy Inc | Pharmacy | 133 E Division, Sparta, MI 49345 | 2006-04-13 |
| 1336260298 | Vorpi Chiropractic Inc | Chiropractor | 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 | 2007-04-02 |
| 1649300203 | Lori Lynn Vorpi | Chiropractor | 9161 Sparta Ave Nw, Suite E, Sparta, MI 49345 | 2007-03-06 |
| Find all providers in zip 49345 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437703741 | Providence Family Medicine | Physician Assistant | 287 W Turn Table Rd, Sparta, TN 38583-1366 | 2019-07-25 |
| 1700302171 | Blake Huddleston | Physician Assistant | 150 Sam Walton Dr Ste 300, Sparta, TN 38583-8813 | 2017-08-17 |
| 1649707373 | Cierra Nichole Walters | Physician Assistant | 464 Ghettis St, Sparta, GA 31087-2307 | 2017-05-12 |
| 1992762116 | Dana Lakatos | Physician Assistant | 1300 N Market St, Sparta, IL 62286-1048 | 2006-05-01 |
| 1316583412 | Kayvon Ameri | Physician Assistant | 376 Lafayette Rd Ste 202, Sparta, NJ 07871-3560 | 2019-11-23 |
| 1497213078 | Lindsey A Crawford | Physician Assistant | 2111 12 Mile Rd Nw, Sparta, MI 49345-9754 | 2019-03-04 |
| 1447611082 | Julie Anne Vandermale | Physician Assistant | 475 S State St, Sparta, MI 49345-1549 | 2016-03-10 |
| 1154794865 | Botanical Emergency Physicians, LLC | Physician Assistant | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-11-03 |
| 1861896250 | Jenna Salvati | Physician Assistant | 2111 12 Mile Rd Nw, Sparta, MI 49345-9754 | 2014-10-15 |
| 1255730479 | Danielle Renee Preuss | Physician Assistant | 1300 N Market St, Sparta, IL 62286-1048 | 2014-08-14 |
| Find all providers in SPARTA | ||||
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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.