CATHERINE MARIE CHIMO (NPI# 1508896523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508896523 |
| Entity Type | Individual |
| Full Name | CATHERINE MARIE CHIMO |
| Credential | PA |
| Practice Address |
820 N Pine River St Ithaca MI 48847-1118 |
| Mailing Address |
Po Box 994 Alma MI 48801-0994 |
| Practice Telephone | 9898753722 |
| Practice Fax Number | 9898758903 |
| Mailing Telephone | 9894667188 |
| Mailing Fax Number | 9894630663 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001489 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0852915050 | 01 |
| Street Address |
820 N PINE RIVER ST |
| City | ITHACA |
| State | MI |
| Zip Code | 48847-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386930956 | Midmichigan Medical Center - Gratiot | Clinic/Center | 820 N Pine River St, Ithaca, MI 48847-1118 | 2011-06-22 |
| 1679506851 | Gratiot Medical Center | Family Medicine | 820 N Pine River St, Ithaca, MI 48847-1118 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055380 | Palmer's Place Inc | Custodial Care Facility | 1009 S. St. Johns Rd, Ithaca, MI 48847 | 2020-02-17 |
| 1851656326 | Kalpesh P Lad | Pharmacist | 1010 East Center St, Ithaca, MI 48847 | 2012-07-10 |
| 1609139302 | Brian Joseph Putman | Dentist | 610 N. Pine River St., Ithaca, MI 48847 | 2012-06-19 |
| 1265544423 | John N Allen | Optometrist | 531 E Center, Ithaca, MI 48847 | 2006-08-31 |
| 1386688604 | Darren M Riopelle Dds | Dentist | 108 South Main Street, Ithaca, MI 48847 | 2006-06-16 |
| 1518933100 | Hal A Williams | Family Medicine | 114 North Main St, Ithaca, MI 48847 | 2006-02-24 |
| 1841541844 | Jenna Putman | Dentist | 610 N Pine River St, Ithaca, MI 48847 | 2012-10-01 |
| 1083903991 | Beth M Johnson | Pharmacist | 1010 East Center Street, Ithaca, MI 48847 | 2011-03-31 |
| 1972578862 | Russell J Anderson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| 1003881053 | Hallie J Wilson | Family Medicine | 114 N Main St, Ithaca, MI 48847 | 2006-02-22 |
| Find all providers in zip 48847 | ||||
| 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 |
|---|---|---|---|---|
| 1023647013 | Shanise Thomas | Physician Assistant | 108 Sapsucker Woods Rd Apt 2a, Ithaca, NY 14850-1979 | 2020-04-02 |
| 1861747388 | Tess Elizabeth Macqueen | Physician Assistant | 2333 N Triphammer Rd Ste 203, Ithaca, NY 14850 | 2012-07-20 |
| 1396078648 | Sarah Bodie Robinson | Physician Assistant | 16 Brentwood Dr Ste A, Ithaca, NY 14850-1863 | 2009-09-17 |
| 1144323049 | Thomas E Brown | Physician Assistant | 2333 N Triphammer Rd, Ithaca, Ny 14850, Derm Assc of Ithaca, Ithaca, NY 14850 | 2006-09-06 |
| 1073534590 | Julie J Higgins | Physician Assistant | 740 S Meadow St, Ithaca, NY 14850-5377 | 2006-07-21 |
| 1861470338 | Marissa Jodi Mcclintock | Physician Assistant | 107 Cayuga Heights Rd, Apt 11, Ithaca, NY 14850-2152 | 2006-01-05 |
| 1215549456 | Christina Maria Potter | Physician Assistant | 740 S Meadow St, Ithaca, NY 14850-5377 | 2020-08-19 |
| 1144855438 | Katherine Elizabeth Brotherton | Physician Assistant | 16 Brentwood Dr Ste A, Ithaca, NY 14850-1863 | 2020-03-06 |
| 1558993626 | Mikaela Katherine Hadaway | Physician Assistant | 16 Brentwood Dr Ste A, Ithaca, NY 14850-1863 | 2020-02-06 |
| 1346891900 | Bradley Thomas Dewitt | Physician Assistant | 1780 Hanshaw Rd, Ithaca, NY 14850-9105 | 2019-09-25 |
| Find all providers in ITHACA | ||||
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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.