RICHARD JOHN RAFFAELLI (NPI# 1467939850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467939850 |
| Entity Type | Individual |
| Full Name | RICHARD JOHN RAFFAELLI |
| Credential | PA-C |
| Practice Address |
205 Osceola St Laurium MI 49913-2134 |
| Mailing Address |
1114 Ethel Ave Hancock MI 49930-1127 |
| Practice Telephone | 9063376500 |
| Mailing Telephone | 9062313121 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008762 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Cedar St, Houghton, MI 499311978 | 9064871710 |
| Street Address |
205 OSCEOLA ST |
| City | LAURIUM |
| State | MI |
| Zip Code | 49913-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105509 | Aaron S Tragos | Orthopaedic Surgery | 205 Osceola St, Laurium, MI 49913-2134 | 2005-06-28 |
| 1508401886 | Darin Hoiska | Nurse Anesthetist, Certified Registered | 205 Osceola St, Laurium, MI 49913-2134 | 2019-11-11 |
| 1023509700 | Asprius Keweenaw Pharmacy | Pharmacy | 205 Osceola St, Laurium, MI 49913-2134 | 2018-05-29 |
| 1770085037 | Lydia Lytle | Physical Therapist | 205 Osceola St, Laurium, MI 49913-2134 | 2018-03-02 |
| 1326548157 | Clint Pakkala | Nurse Practitioner | 205 Osceola St, Laurium, MI 49913-2134 | 2018-02-19 |
| 1124481544 | Tom David Raisanen | Dermatology | 205 Osceola St, Laurium, MI 49913-2134 | 2016-04-02 |
| 1407214315 | Nicole Joan Webb | Physician Assistant | 205 Osceola St, Laurium, MI 49913-2134 | 2016-02-05 |
| 1174914014 | Beth Ann Cook | Dietitian, Registered | 205 Osceola St, Laurium, MI 49913-2134 | 2015-02-13 |
| 1316368046 | Pauline Giacoletto | Physical Therapy Assistant | 205 Osceola St, Laurium, MI 49913-2134 | 2013-12-24 |
| 1790127454 | Aspirus Keweenaw | Orthopaedic Surgery | 205 Osceola St, Laurium, MI 49913-2134 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386947695 | Sheri L. Giordana | Nurse Practitioner | 205 Osceola St., Aspirus Keweenaw, Laurium, MI 49913 | 2010-12-08 |
| 1700073376 | Body Mechanix Physical Therapy, LLC | Physical Therapist | 56730 Calumet Avenue, Suite M, Calumet, MI 49913 | 2007-09-27 |
| 1568843795 | Wanda Joan Kiiskila | Speech-Language Pathologist | 25770 Elm St, Calumet, MI 49913-1220 | 2015-06-12 |
| 1841464492 | Phoenix House Inc. | Substance Abuse Rehabilitation Facility | 57467 Waterworks St, Calumet, MI 49913-1258 | 2008-04-15 |
| 1225103500 | Aspirus Keweenaw Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 54 2nd St, Laurium, MI 49913-1319 | 2006-11-21 |
| 1417281411 | Superior Pediatrics, Pllc | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2009-09-23 |
| 1245462142 | Lisa L Spence | Nurse Practitioner | 324 5th St, Calumet, MI 49913-1502 | 2009-08-12 |
| 1003979501 | Jeffrey Evan Jacobs | Pediatrics | 324 5th St, Calumet, MI 49913-1502 | 2006-12-18 |
| 1548214315 | Keweenaw Home Nursing, Inc. | Hospice Care, Community Based | 311 6th St, Calumet, MI 49913-1507 | 2006-05-19 |
| 1053895870 | Susan Louise Peterson | Physical Therapist | 311 6th St, Calumet, MI 49913-1507 | 2018-09-18 |
| Find all providers in zip 49913 | ||||
| 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 |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
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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.