JOHN R KUKSA (NPI# 1497876791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497876791 |
| Entity Type | Individual |
| Full Name | JOHN R KUKSA |
| Credential | P.A. |
| Practice Address |
1915 N Perry St Pontiac MI 48340-2237 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 6157784066 |
| Mailing Telephone | 9723648000 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001196 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1915 N PERRY ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851334254 | Irene Kimovec | Family Medicine | 1915 N Perry St, Pontiac, MI 48340-2237 | 2006-06-14 |
| 1578795852 | American Current Care of Michigan, P.C. | Clinic/Center | 1915 N Perry St, Pontiac, MI 48340-2237 | 2009-08-20 |
| 1578755393 | American Current Care of Michigan PC | Clinic/Center | 1915 N Perry St, Pontiac, MI 48340-2237 | 2007-08-15 |
| 1255458238 | Ericus T Derks | Physical Therapist | 1915 N Perry St, Pontiac, MI 48340-2237 | 2007-03-23 |
| 1528091246 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 1915 N Perry St, Pontiac, MI 48340-2237 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| 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 |
|---|---|---|---|---|
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1265901755 | Rachel Harrington | Physician Assistant | 50 N Perry St, Pontiac, MI 48342-2217 | 2018-11-14 |
| 1083104137 | Nicole M. Jack | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764 | 2018-05-15 |
| 1497257745 | Robert Edward Van Meter | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764 | 2018-03-02 |
| 1821522566 | Briana Stebbins | Physician Assistant | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-04-19 |
| 1164827994 | Rachel Kuisell | Physician Assistant | 585 South Blvd E Ste 100, Pontiac, MI 48341-3163 | 2014-10-22 |
| 1699180554 | Stephanie Nicole Stewart | Physician Assistant | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2014-06-30 |
| 1619227048 | Heather Hall | Physician Assistant | 50 N Perry St, Pontiac, MI 48342-2217 | 2012-09-13 |
| 1144502394 | Sally Jajou | Physician Assistant | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2011-09-14 |
| 1215235007 | Danielle Vanderveen | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2011-03-03 |
| Find all providers in PONTIAC | ||||
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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.