MS. PAMELA ANN STENNETT (NPI# 1417989385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417989385 |
| Entity Type | Individual |
| Full Name | MS. PAMELA ANN STENNETT |
| Credential | PA-C |
| Practice Address |
44199 Dequindre Rd Suite 250 Troy MI 48085-1128 |
| Mailing Address |
1615 N Washington Ave Royal Oak MI 48067-1332 |
| Practice Telephone | 2488798451 |
| Practice Fax Number | 2488796841 |
| Mailing Telephone | 2483999292 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601003866 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI LICENSE # | 5601003866 | 01 |
| Street Address |
44199 DEQUINDRE RD SUITE 250 |
| City | TROY |
| State | MI |
| Zip Code | 48085-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631184 | Ceres A Guzman-morales | Pediatrics | 44199 Dequindre Rd, Suite 222, Troy, MI 48085-1128 | 2005-07-07 |
| 1184274573 | Kristina Brown | Nurse Practitioner | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2019-09-17 |
| 1306320726 | Dominic B Filippis | Physician Assistant | 44199 Dequindre Rd, Troy, MI 48085-1128 | 2018-09-21 |
| 1952790925 | University Neurosurgical Associates PC | Neurological Surgery | 44199 Dequindre Rd, Area C Ste 518, Troy, MI 48085-1128 | 2015-01-14 |
| 1386072122 | Shelley Sue Binkley Md Pllc | Clinic/Center | 44199 Dequindre Rd, Suite 412, Troy, MI 48085-1128 | 2013-10-14 |
| 1255770186 | Rebecka May Olds | Nurse Practitioner | 44199 Dequindre Rd, Ste. 311, Troy, MI 48085-1128 | 2013-06-25 |
| 1598060428 | Timothy P. Baessler, Dpm, PC | Podiatrist | 44199 Dequindre Rd, Suite 112, Troy, MI 48085-1128 | 2011-01-25 |
| 1346551074 | Comprehensive Breast Care Pllc | Surgery | 44199 Dequindre Rd, Suite 609, Troy, MI 48085-1128 | 2010-06-28 |
| 1043549165 | Josephine Iskander, Md Pllc | Medicare Defined Swing Bed Unit | 44199 Dequindre Rd, Ste 304, Troy, MI 48085-1128 | 2009-12-19 |
| 1467618694 | Mary Chisholm Jordan | Obstetrics & Gynecology | 44199 Dequindre Rd, Suite 415, Troy, MI 48085-1128 | 2008-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327252 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd #120, Suite 120, Troy, MI 48085 | 2019-10-16 |
| 1538712948 | Long Lake Rx | Pharmacy | 2888 East Long Lake Rd, Suite 120, Troy, MI 48085 | 2019-07-24 |
| 1669035093 | William Beaumont Hospital | Pharmacy | Beaumont Hospital Troy, 44201 Dequindre, Room 11a0310, Troy, MI 48085 | 2019-04-22 |
| 1487126926 | Long Lake Rx | Pharmacy | 2888 E Long Lake Rd Suite 120, Troy, MI 48085 | 2018-12-21 |
| 1295226579 | Jeffrey Paul Biehl | Nurse Anesthetist, Certified Registered | 44249 Dequindre Rd., Troy, MI 48085 | 2018-05-23 |
| 1619478666 | Trisha Misiewicz | Physical Therapist | 42201 Dequindre Rd, Troy, MI 48085 | 2018-02-26 |
| 1760900393 | Sensory Rehabilitation LLC | Physical Therapist | 4413, Reilly Ct, Troy, MI 48085 | 2017-09-04 |
| 1841710837 | James L Chang | Dentist | 1883 E Wattles, Troy, MI 48085 | 2017-06-21 |
| 1033567953 | Brittany N David | Physician Assistant | 2041 E Square Lake Rd Suite 300, Troy, MI 48085 | 2016-06-01 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| Find all providers in zip 48085 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1467952812 | Taylor Ilayne Nelson | Physician Assistant | 275 Guthrie Dr, Troy, PA 16947-8115 | 2018-02-12 |
| 1386091916 | Jeffrey Roegner | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2016-05-24 |
| 1932533460 | Robert Belke | Physician Assistant | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2013-09-03 |
| 1972884740 | Thomas James Klick Jr. | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2011-09-07 |
| 1558653303 | Great Lakes Surgical Assistants, Pllc | Physician Assistant | 4550 Investment Dr Ste 100, Troy, MI 48098-6334 | 2011-05-12 |
| 1053445973 | Taibi Chbihi | Physician Assistant | 44199 Dequindre, Suite 400, Troy, MI 48085 | 2007-03-15 |
| 1528015799 | Melissa Marie Mozdzen | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2006-05-31 |
| 1295737815 | Melinda Sue Duff | Physician Assistant | 3130 N County Road 25a, Suite 214, Troy, OH 45373-1337 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
| 1881822187 | Shea Mace | Physician Assistant | 6799 West Grand Blvd, Detroit, MI 48202 | 2009-06-24 |
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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.