CARY D WISNIEWSKI (NPI# 1508884669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508884669 |
| Entity Type | Individual |
| Full Name | CARY D WISNIEWSKI |
| Credential | PA-C |
| Practice Address |
2000 Green Road Suite 100 Ann Arbor MI 48105 |
| Practice Telephone | 7349953764 |
| Practice Fax Number | 2084759028 |
| Mailing Telephone | 7349953764 |
| Mailing Fax Number | 2084759028 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001181 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2000 GREEN ROAD SUITE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518985852 | Anne E. Schutter | Emergency Medicine | 2000 Green Road, Suite 100, Ann Arbor, MI 48105 | 2006-07-17 |
| 1194011007 | Kelly Russell Burris | Nurse Practitioner | 2000 Green Road, Ann Arbor, MI 48105 | 2011-06-20 |
| 1033368774 | Eduardo Jorge Navarrete | Emergency Medicine | 2000 Green Road, Suite 300 - Attn: Credentials Department, Ann Arbor, MI 48105-1571 | 2008-09-18 |
| 1871512418 | Jacques Kobersy | Emergency Medicine | 2000 Green Road, Suite 100, Ann Arbor, MI 48105 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| 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 |
|---|---|---|---|---|
| 1609483080 | Bernice Li | Physician Assistant | 2299 Hickory Point Dr, Ann Arbor, MI 48105-9291 | 2020-09-29 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1992278444 | Torsten B Berg | Physician Assistant | 2906 Chesterfield St, Ann Arbor, MI 48104-6512 | 2019-01-08 |
| 1548658644 | Ashley Lopresto | Physician Assistant | 2000 Green Rd, Ste 300, Emergency Physicians Medical Group, Ann Arbor, MI 48105 | 2014-12-26 |
| 1255565685 | Erin Elizabeth Van Tiem | Physician Assistant | 706 W Huron St Ste 201, Ann Arbor, MI 48103 | 2009-05-13 |
| 1508943663 | Jason J Grove | Physician Assistant | 1500 E Medical Center Dr, 3rd Floor Recp. A Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 | 2006-11-01 |
| 1205852902 | Kevin C Eves | Physician Assistant | 2098 South Main Street, Ann Arbor, MI 48103 | 2006-07-14 |
| 1336199165 | Suzanne Beth Eiss | Physician Assistant | 2098 South Main St, Ann Arbor, MI 48103-5827 | 2006-05-11 |
| 1811946379 | Christianne Elizabeth Marshall | Physician Assistant | 1500 East Medical Center Dr, 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4217 | 2006-05-10 |
| 1699734939 | Richard J Sartori | Physician Assistant | 706 W. Huron St, Ann Arbor, MI 48103 | 2006-03-23 |
| Find all providers in ANN ARBOR | ||||
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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.