WAYNE K MCEWEN (NPI# 1437101680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437101680 |
| Entity Type | Individual |
| Full Name | WAYNE K MCEWEN |
| Credential | P.A.C. |
| Practice Address |
11899 M 32 Atlanta MI 49709-9374 |
| Mailing Address |
Po Box 427 Hillman MI 49746-0427 |
| Practice Telephone | 9897854855 |
| Practice Fax Number | 9897852267 |
| Mailing Telephone | 9897424583 |
| Mailing Fax Number | 9897424298 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | WM003886 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE BILL PAY TO | 0F06016 | 01 |
| Street Address |
11899 M 32 |
| City | ATLANTA |
| State | MI |
| Zip Code | 49709-9374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497316210 | Emily F Hill | Dentist | 11899 M 32, Atlanta, MI 49709-9374 | 2019-06-24 |
| 1528627247 | Patrick Dionise | Dentist | 11899 M 32, Atlanta, MI 49709-9374 | 2019-06-06 |
| 1275094617 | Nickole L Stein-fisher | Social Worker | 11899 M 32, Atlanta, MI 49709-9374 | 2019-03-28 |
| 1245703198 | Brenna E Hincka | Dental Hygienist | 11899 M 32, Atlanta, MI 49709-9374 | 2019-01-03 |
| 1164991527 | Lori M Wineman | Pharmacist | 11899 M 32, Atlanta, MI 49709-9374 | 2018-11-15 |
| 1104336163 | Emily F Hoffmeyer | Dental Assistant | 11899 M 32, Atlanta, MI 49709-9374 | 2017-10-04 |
| 1003335449 | Lynn M Radka | Dental Hygienist | 11899 M 32, Atlanta, MI 49709-9374 | 2017-09-18 |
| 1689192809 | Amy J Code | Nurse Practitioner | 11899 M 32, Atlanta, MI 49709-9374 | 2017-09-08 |
| 1225390008 | Shannon L. Avenall | Social Worker | 11899 M 32, Atlanta, MI 49709-9374 | 2012-06-08 |
| 1568759702 | Jennifer Ann Suszek | Dental Hygienist | 11899 M 32, Atlanta, MI 49709-0850 | 2011-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881960722 | Thunder Bay Community Health Service, Inc | Clinic/Center | 10500 County Road 489, Atlanta, MI 49709 | 2012-03-26 |
| 1043441975 | Midmichigan Medical Center-alpena | Durable Medical Equipment & Medical Supplies | 12674 Jerome St., Atlanta, MI 49709 | 2009-07-27 |
| 1063598241 | Henry Franklin Herlick | Dentist | 12551 Jerome St, Atlanta, MI 49709 | 2006-10-31 |
| 1437362902 | Ronald J. Looney | Chiropractor | 12418 State St., Atlanta, MI 49709-0855 | 2007-05-08 |
| 1427055680 | Tanya Joyce Rock | Social Worker | 5375 E Sandy Trl, Atlanta, MI 49709-8956 | 2005-07-02 |
| 1912444605 | Rachael Sherbonda | Behavior Technician | 8051 County Road 489, Atlanta, MI 49709-9031 | 2017-01-19 |
| 1174999098 | Montmorency County Commission On Aging | Home Health | 11463 Mcarthur Rd, Atlanta, MI 49709-9192 | 2015-08-14 |
| 1316998909 | Tri - Township Ambulance Service | Ambulance | 11413 Parland St, Atlanta, MI 49709-9271 | 2006-05-16 |
| 1831179597 | Professional Breathing Associates Inc | Durable Medical Equipment & Medical Supplies | 12519 State St, Atlanta, MI 49709-9622 | 2006-01-19 |
| 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 |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1083227821 | Jessica Haley Senft | Physician Assistant | 4274 Olde Mill Ln Ne, Atlanta, GA 30342-3400 | 2020-08-30 |
| 1801405758 | Philip Sangster | Physician Assistant | 3485 Greystone Cir, Atlanta, GA 30341-5854 | 2020-07-27 |
| 1114544525 | Nicole Warner | Physician Assistant | 1100 Faith Ave Se, Atlanta, GA 30316-1504 | 2020-07-01 |
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1972125557 | Karen Charisse Forbes | Physician Assistant | 1600 Clifton Rd Ne # H16-1, Atlanta, GA 30329-4018 | 2020-05-17 |
| 1588290316 | Julie Teresa Lovelly | Physician Assistant | 1220 Caroline St Ne Ste A-230, Atlanta, GA 30307-2749 | 2020-03-12 |
| 1104463645 | Hannah Elyse Galvan | Physician Assistant | 550 Peachtree St Ne Bldg Rm3245a, Atlanta, GA 30308-2247 | 2019-12-03 |
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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.