JILL ANNE LEBOURDAIS (NPI# 1447216999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447216999 |
| Entity Type | Individual |
| Full Name | JILL ANNE LEBOURDAIS |
| Credential | PA |
| Practice Address |
4905 Berl Dr Saginaw MI 48604-2801 |
| Mailing Address |
3785 Bay Rd Saginaw MI 48603-2433 |
| Practice Telephone | 9899960566 |
| Practice Fax Number | 9895836915 |
| Mailing Telephone | 9897912455 |
| Mailing Fax Number | 9897911392 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003221 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4472609 | 05 | |
| RAILROAD MEDICARE | P00088330 | 01 | |
| MI | HEALTH PLAN OF MI | 26401 | 01 |
| MI | BCBSM | 5731192 | 01 |
| MI | HEALTH PLUS | 0992118 | 01 |
| Street Address |
4905 BERL DR |
| City | SAGINAW |
| State | MI |
| Zip Code | 48604-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588908222 | Mid Michigan Advanced Imaging LLC | Radiology | 4905 Berl Dr, Saginaw, MI 48604-2801 | 2012-11-19 |
| 1689720179 | Rodney C Shoemaker | Psychologist | 4905 Berl Dr, Ste# 3, Saginaw, MI 48604-2805 | 2007-01-26 |
| 1003962572 | Jeanine B Wells | Psychologist | 4905 Berl Dr, Ste 3, Saginaw, MI 48604-2807 | 2007-01-26 |
| 1710089388 | Ali E Ibrahim | Psychiatry & Neurology | 4905 Berl Dr, Saginaw, MI 48604-2801 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090318 | Paulette Marie Giltrop | Technician | 2930 Eddy St, Saginaw, MI 48604 | 2019-09-03 |
| 1821419797 | Kathleen Klonowski, Dds and Ashly Bailey, Dds, Plc | Clinic/Center | 4685 E. Mcleod Dr., Saginaw, MI 48604 | 2013-12-19 |
| 1245508811 | Universal Health Group, Inc | Chiropractor | 4700 East Mcleod, Saginaw, MI 48604 | 2011-12-09 |
| 1982980751 | Vivid Idea Rehab | Home Health | 2101 West Stoker Dr, Saginaw, MI 48604 | 2011-10-25 |
| 1518266683 | Rashad H Leflore | Driver | 1293 Tittabawassee Rd Apt G, Saginaw, MI 48604 | 2011-03-15 |
| 1033392089 | Raquel N. Dorin | Physical Therapist | 2716 Liberty, Saginaw, MI 48604 | 2007-12-13 |
| 1760604854 | Matthew Thomas Kisabeth | Optometrist | 5650 Bay Road, Saginaw, MI 48604 | 2007-05-02 |
| 1861613556 | Loretta O'donnell | Pathology | 4705 Towne Centre Road, Suite 301, Saginaw, MI 48604 | 2007-05-01 |
| 1265652325 | Tracey M Mallek | Physical Therapist | 4901 Town Center Rd, Suite 300, Saginaw, MI 48604 | 2007-04-30 |
| 1588783062 | Harprabhjit Singh | Internal Medicine | 4680 Mcleod Dr E., Saginaw, MI 48604 | 2007-03-28 |
| Find all providers in zip 48604 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336447002 | Northview Medical House Calls Plc | Physician Assistant | 2475 Midland Rd, Suite 2, Saginaw, MI 48603-8005 | 2011-03-04 |
| 1255489001 | Judith L Sweany | Physician Assistant | 3400 N Center Rd Ste 500, Saginaw, MI 48603-7922 | 2007-01-08 |
| 1386630598 | Brian J Watson | Physician Assistant | 100 S Jefferson Ave, Suite 202, Saginaw, MI 48607-1267 | 2005-09-22 |
| 1083240865 | Jacob Angus Macdowell | Physician Assistant | 3150 Hallmark Ct Ste 2, Saginaw, MI 48603-2173 | 2020-03-12 |
| 1992270870 | Saginaw Valley Family Care, Pllc | Physician Assistant | 4386 State St, Saginaw, MI 48603-4067 | 2018-10-08 |
| 1811356512 | Jennifer Engelby | Physician Assistant | 926 N Michigan Ave, Saginaw, MI 48602-4369 | 2016-02-23 |
| 1598175168 | Marc Evan Thompson | Physician Assistant | 800 Cooper Ave, Saginaw, MI 48602-5394 | 2014-05-05 |
| 1033462635 | Marcus S Breidinger | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2012-10-19 |
| 1972886703 | Zachary Benjamin Retzler | Physician Assistant | 912 S Washington Ave, Suite 1, Saginaw, MI 48601-2564 | 2011-09-28 |
| 1780992263 | Andrea Lynn Mclin | Physician Assistant | 204 Wj Boaz Rd Ste 200, Saginaw, TX 76179-4396 | 2010-09-19 |
| Find all providers in SAGINAW | ||||
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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.