BRADLEY COON (NPI# 1497121610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497121610 |
| Entity Type | Individual |
| Full Name | BRADLEY COON |
| Credential | PA |
| Practice Address |
36222 5 Mile Rd Livonia MI 48154 |
| Mailing Address |
27472 Schoenherr Rd Suite 140 Warren MI 48088-6688 |
| Practice Telephone | 5864396268 |
| Practice Fax Number | 5864396232 |
| Mailing Telephone | 5864396268 |
| Mailing Fax Number | 5864396232 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592883 | Bradley Coon | Physician Assistant | 1145 Broadway, Seattle, WA 98122-4201 | 2007-08-06 |
| Street Address |
36222 5 MILE RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| 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 |
|---|---|---|---|---|
| 1063027977 | Mary Zhen | Physician Assistant | 31083 Fargo St, Livonia, MI 48152-1745 | 2020-09-09 |
| 1861013120 | Nicole Salloum | Physician Assistant | 36167 Meadowbrook St, Livonia, MI 48154-5128 | 2020-04-28 |
| 1710528955 | Shane O'donohue | Physician Assistant | 20114 Mayfield St, Livonia, MI 48152-1303 | 2019-09-30 |
| 1568029791 | Simona Zavedyuk | Physician Assistant | 15055 Hubbard St Apt 34, Livonia, MI 48154-3581 | 2019-05-22 |
| 1003342411 | Jennifer Gracia Villella | Physician Assistant | 9555 Middlebelt Rd, Livonia, MI 48150-3009 | 2017-05-04 |
| 1801233614 | Donnell Anthony Gemus Jr. | Physician Assistant | 11502 Middlebelt Rd, Livonia, MI 48150 | 2013-06-03 |
| 1902045891 | Aimee Ruth Lamb | Physician Assistant | 18608 Farmington Rd, Livonia, MI 48152-3261 | 2009-02-17 |
| 1083733810 | Theresa M Sanford | Physician Assistant | 19900 Haggerty Road, Livonia, MI 48152-1054 | 2007-03-29 |
| 1114005550 | Diane M Collin | Physician Assistant | 1990 Haggerty Rd, Livonia, MI 48152-1054 | 2006-11-02 |
| 1285712638 | Brian Kilbarger | Physician Assistant | 1990 Haggerty Road, Livonia, MI 48152-1054 | 2006-11-02 |
| Find all providers in LIVONIA | ||||
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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.