STEVEN ROBERT MOGRIDGE (NPI# 1518355437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518355437 |
| Entity Type | Individual |
| Full Name | STEVEN ROBERT MOGRIDGE |
| Credential | PAC |
| Practice Address |
2776 S State Rd Ionia MI 48846-8472 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6167757500 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002141 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2776 S STATE RD |
| City | IONIA |
| State | MI |
| Zip Code | 48846-8472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043311772 | Donald J Gingerich | Family Medicine | 2776 S State Rd, Ionia, MI 48846-8472 | 2006-09-26 |
| 1316402779 | Nicole Marie Baker | Physician Assistant | 2776 S State Rd, Ionia, MI 48846-8472 | 2019-02-08 |
| 1245751908 | Alifa Ashley Mohamed | Family Medicine | 2776 S State Rd, Ionia, MI 48846-8472 | 2017-07-03 |
| 1336688639 | Sara Casey | Nurse Practitioner | 2776 S State Rd, Ionia, MI 48846-8472 | 2017-02-20 |
| 1710422696 | Blake Geschke | Physician Assistant | 2776 S State Rd, Ionia, MI 48846-8472 | 2016-12-30 |
| 1942757869 | Anthony Lee Sands | Physician Assistant | 2776 S State Rd, Ionia, MI 48846-8472 | 2016-09-08 |
| 1104291202 | Pennock Hospital Board of Trustees | Internal Medicine | 2776 S State Rd, Ionia, MI 48846-8472 | 2015-12-01 |
| 1477940773 | Pennock Hospital | Clinic/Center | 2776 S State Rd, Ionia, MI 48846-8472 | 2015-04-24 |
| 1689076317 | Kayley Bruinsma | Nurse Practitioner | 2776 S State Rd, Ionia, MI 48846-8472 | 2014-09-25 |
| 1942640834 | Richard Mason | Family Medicine | 2776 S State Rd, Ionia, MI 48846-8472 | 2013-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728003 | William Thomas Franklin-cromwell | Social Worker | 4832 E Bluewater Hwy, Ionia, MI 48846 | 2018-08-03 |
| 1992244974 | Jane Sielski | Nurse Practitioner | 2776 S State Rd # M66, Ionia, MI 48846 | 2017-02-23 |
| 1184074676 | Rachael Greenman | Technician, Other | 321 Colby St, Ionia, MI 48846 | 2016-06-15 |
| 1093059388 | Alicia Lynn Ballard | Orthopaedic Surgery | 537 W. Main St Suite 102, Ionia, MI 48846 | 2012-11-27 |
| 1538301643 | Places LLC | Registered Nurse | 910 E Lincoln, Ionia, MI 48846 | 2009-04-03 |
| 1285856419 | Goodwill Optical Inc | Optometrist | 153 W Sprague Rd, Ionia, MI 48846 | 2007-05-03 |
| 1033271143 | Sparrow Ionia Hospital | Family Medicine | 550 East Washington Street, Ionia, MI 48846 | 2006-12-14 |
| 1841364833 | Sandra Irene Herron | Physical Therapist | 3751 S State Rd, Ionia, MI 48846 | 2006-11-20 |
| 1407920531 | Brooke Lynne Cheney | Physical Therapist | 3751 S State Road, Ionia, MI 48846 | 2006-11-20 |
| 1356415483 | Grand River Physical Therapy Specialists PC | Physical Therapist | 3751 South State Rd, Ionia, MI 48846 | 2006-11-20 |
| Find all providers in zip 48846 | ||||
| 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 |
|---|---|---|---|---|
| 1629216999 | Brendan James Sherry | Physician Assistant | 1342 W Main St, Ionia, MI 48846-1923 | 2009-01-25 |
| 1316402779 | Nicole Marie Baker | Physician Assistant | 2776 S State Rd, Ionia, MI 48846-8472 | 2019-02-08 |
| 1417423526 | Jonathon Baxter | Physician Assistant | 550 E Washington St, Ionia, MI 48846-2202 | 2018-10-16 |
| 1710422696 | Blake Geschke | Physician Assistant | 2776 S State Rd, Ionia, MI 48846-8472 | 2016-12-30 |
| 1942757869 | Anthony Lee Sands | Physician Assistant | 2776 S State Rd, Ionia, MI 48846-8472 | 2016-09-08 |
| 1720414923 | Jamie M Manning | Physician Assistant | 550 E Washington St, Ste 104, Ionia, MI 48846-2202 | 2013-09-19 |
| 1801149976 | Allison Marie Stafford | Physician Assistant | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2012-10-26 |
| 1265751424 | Paul James Lanzon | Physician Assistant | 3015 S State Rd, Ionia, MI 48846-9416 | 2010-05-26 |
| 1326096710 | Kent D. Filsinger | Physician Assistant | 330 Lovell St, Ionia, MI 48846-9706 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
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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.