DONNA M SHULL (NPI# 1396864559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396864559 |
| Entity Type | Individual |
| Full Name | DONNA M SHULL |
| Credential | PA-C |
| Practice Address |
804 Service Road Room A142 East Lansing MI 48824-7039 |
| Mailing Address |
4206 Wabaningo Rd Okemos MI 48864-4405 |
| Practice Telephone | 5173533050 |
| Practice Fax Number | 5174323742 |
| Mailing Telephone | 5173493114 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004955 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
804 SERVICE ROAD ROOM A142 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643680 | Deborah F Gelinas | Psychiatry & Neurology | 804 Service Road, Room A117, East Lansing, MI 48823-7038 | 2005-10-19 |
| 1225341456 | Dean Fredrick Mcfarlane-parrott | Internal Medicine | 804 Service Road, Room A225, East Lansing, MI 48824 | 2010-07-16 |
| 1629309067 | Jane Gudakunst | Family Medicine | 804 Service Road, Room A109, East Lansing, MI 48824-7038 | 2010-01-25 |
| 1033353198 | Tyson Burghardt | Psychiatry & Neurology | 804 Service Road, Room A217, East Lansing, MI 48824-7040 | 2009-04-20 |
| 1528207958 | Mary Marcella Nakfoor | Physical Therapist | 804 Service Road, Room A114, East Lansing, MI 48824-7038 | 2009-02-09 |
| 1851567788 | Tara Marie Klix | Radiology | 804 Service Road, Room D100, East Lansing, MI 48824-7062 | 2008-04-30 |
| 1467679928 | Mary Jane Cook | Nurse Practitioner | 804 Service Road, Room A142, East Lansing, MI 48824-7039 | 2007-04-19 |
| 1023141637 | Robert Taylor Scott | Family Medicine | 804 Service Road, Room A235, East Lansing, MI 48824-7021 | 2007-03-13 |
| 1396807715 | Lori Joanne Webster | Physical Therapist | 804 Service Road, Room A114, East Lansing, MI 48824-7038 | 2006-12-14 |
| 1275604407 | I. Zachary Dyme | Psychiatry & Neurology | 804 Service Road, Room A217, East Lansing, MI 48824-7040 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| 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 |
|---|---|---|---|---|
| 1093927980 | Bonnie J Seaks | Physician Assistant | E Circle Dr Olin Health Center, University Physicians Office, East Lansing, MI 48824 | 2007-05-04 |
| 1942300660 | Lydia A Huber | Physician Assistant | 463 East Circle Drive, East Lansing, MI 48824-1037 | 2006-09-23 |
| 1629082482 | Maria E Reed | Physician Assistant | 1650 Ramblewood Dr Ste 100, East Lansing, MI 48823-7396 | 2006-07-28 |
| 1306870126 | Amy L. Worthing | Physician Assistant | 2900 Hannah Blvd Ste 212, East Lansing, MI 48823-5382 | 2006-07-10 |
| 1932199262 | Elizabeth C Malsheske | Physician Assistant | 463 East Circle Dr, East Lansing, MI 48824-7505 | 2005-10-27 |
| 1003422767 | Emily L Griffore | Physician Assistant | 1500 Abbot Rd Ste 400, East Lansing, MI 48823-1956 | 2020-09-18 |
| 1487162822 | Rachael Wagner | Physician Assistant | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2018-01-19 |
| 1437664281 | Brooke Allie Janke | Physician Assistant | 1650 Ramblewood Dr, East Lansing, MI 48823-7396 | 2017-12-01 |
| 1972051019 | Lisa Ryan | Physician Assistant | 411 W Lake Lansing Rd Ste C120, East Lansing, MI 48823-8483 | 2016-09-19 |
| 1518336213 | Katelyn Murphy | Physician Assistant | 1575 Ramblewood Dr, Suite 200, East Lansing, MI 48823-6384 | 2015-09-23 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
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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.