CARAMARIE C BROCK (NPI# 1518047133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518047133 |
| Entity Type | Individual |
| Full Name | CARAMARIE C BROCK |
| Credential | PA-C |
| Practice Address |
4620 Genesys Pkwy Grand Blanc MI 48439-8067 |
| Mailing Address |
2559 Stanmoor Dr Waterford MI 48329-2365 |
| Practice Telephone | 8106067200 |
| Practice Fax Number | 8106067115 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004514 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601004514 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4620 GENESYS PKWY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851329197 | Avery Michael Jackson IIi | Neurological Surgery | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2006-06-28 |
| 1861886665 | John Austin Carr | Obstetrics & Gynecology | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2015-03-19 |
| 1841626322 | Danielle Aline Borgerding | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2013-09-17 |
| 1356635569 | Sarah Renee Carpenter | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2011-06-06 |
| 1528379302 | Carrie Suzanne Bryant | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2010-06-28 |
| 1598905408 | Gary Michael Wolfe II | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2009-03-05 |
| 1598930968 | Michigan Neurosurgical Institute PC | Durable Medical Equipment & Medical Supplies | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2008-04-28 |
| 1548282098 | Deborah Lynn Peck | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679058630 | Tyler David Ballard | Physician Assistant | 2070 E Hill Rd, Grand Blanc, MI 48439-5108 | 2018-09-26 |
| 1649640293 | Ian Prochaska | Physician Assistant | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2015-09-25 |
| 1558731109 | Zachary Prochaska | Physician Assistant | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2015-09-25 |
| 1356635569 | Sarah Renee Carpenter | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2011-06-06 |
| 1750685442 | Lynn M Garner | Physician Assistant | 8203 S Saginaw St, Suite A, Grand Blanc, MI 48439-2434 | 2011-01-10 |
| 1013229012 | Nicole A Hering | Physician Assistant | 600 Health Park Blvd, Suite G, Grand Blanc, MI 48439-2558 | 2010-07-07 |
| 1528379302 | Carrie Suzanne Bryant | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2010-06-28 |
| 1598905408 | Gary Michael Wolfe II | Physician Assistant | 4620 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2009-03-05 |
| 1356476212 | Linda K Ormond-matlock | Physician Assistant | 3399 Pollock Rd, Grand Blanc, MI 48439-8393 | 2007-02-22 |
| 1962410555 | Donna Hines | Physician Assistant | 3399 Pollock Rd, Grand Blanc, MI 48439-8393 | 2006-08-03 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on CARAMARIE C BROCK.
| 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.