JOEL KUTZ (NPI# 1528149788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528149788 |
| Entity Type | Individual |
| Full Name | JOEL KUTZ |
| Credential | PA-C |
| Practice Address |
3100 Cross Creek Pkwy Ste. 200 Auburn Hills MI 48326-2776 |
| Mailing Address |
40686 Saint Louis Dr Clinton Township MI 48038-7129 |
| Practice Telephone | 2483778000 |
| Practice Fax Number | 2483772929 |
| Mailing Telephone | 5868224796 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004522 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601004522 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 5601004522 | 01 |
| Street Address |
3100 CROSS CREEK PKWY STE. 200 |
| City | AUBURN HILLS |
| State | MI |
| Zip Code | 48326-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161755 | John R Olenyn | Orthopaedic Surgery | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2005-08-16 |
| 1053819524 | Kristen Marie Yourick | Physician Assistant | 3100 Cross Creek Pkwy, Auburn Hills, MI 48326-2774 | 2018-01-30 |
| 1356710677 | Timothy Houston | Physical Therapist | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2015-09-16 |
| 1649661489 | Shannon Marie Cook | Physical Therapist | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2774 | 2015-02-16 |
| 1891040895 | Asta V. Paskus | Physical Therapist | 3100 Cross Creek Pkwy, Suite 110, Auburn Hills, MI 48326-2774 | 2012-07-17 |
| 1619234010 | Stephen Shane Tompa | Occupational Therapist | 3100 Cross Creek Pkwy, Ste. 150, Auburn Hills, MI 48326-2774 | 2012-04-23 |
| 1053604751 | Bradley Joseph Watson | Physician Assistant | 3100 Cross Creek Pkwy, # 200, Auburn Hills, MI 48326-2774 | 2011-05-27 |
| 1588968853 | Us Rehab Providers, Inc | Clinic/Center | 3100 Cross Creek Pkwy, Auburn Hills, MI 48326-2774 | 2010-12-30 |
| 1376846709 | Julie Anne Mulcahy | Physical Therapist | 3100 Cross Creek Pkwy, Ste 200, Auburn Hills, MI 48326-2776 | 2010-12-07 |
| 1841429925 | Ryan Michael Siwiec | Orthopaedic Surgery | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256220 | Pdn Billing, LLC. | Home Health | 3165 Oxford West, Auburn Hills, MI 48326 | 2017-06-29 |
| 1326583238 | Doreen Lang | Contractor | 2384 E Walton Blvd, Auburn Hills, MI 48326 | 2016-12-31 |
| 1205282266 | Gomaa LLC | Pharmacy | 2191 South Blvd Ste 1b, Auburn Hills, MI 48326 | 2016-05-09 |
| 1346621430 | Georjeana Dillard-parker | Social Worker | 620 Sheffield Road, Auburn Hilla, MI 48326 | 2015-06-15 |
| 1205213188 | Alison Elizabeth Lindensmith | Social Worker | 2239 E Walton Blvd, Auburn Hills, MI 48326 | 2015-04-30 |
| 1679912141 | Deborah Lynn Mckeever | Registered Nurse | 165 S. Opdyke Rd., Lot 217, Auburn Hills, MI 48326 | 2013-06-18 |
| 1790033231 | Bridget Green | Counselor | 2387 Walton Blvd, Easter Seals, Auburn Hills, MI 48326 | 2012-08-15 |
| 1205106614 | Sally S. Barbat | Psychologist | 691 N Squirrel Rd Ste 115, Auburn Hills, MI 48326 | 2012-01-03 |
| 1124315403 | Emanuela A Popa | Pharmacist | 2564 N Squirrel Rd, Ap#162, Auburn Hills, MI 48326 | 2011-07-07 |
| 1679870737 | Oakland County Community Mental Health Authority | Community/Behavioral Health | 2011 Executive Hills Blvd, Auburn Hills, MI 48326 | 2011-02-24 |
| Find all providers in zip 48326 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053604751 | Bradley Joseph Watson | Physician Assistant | 3100 Cross Creek Pkwy, # 200, Auburn Hills, MI 48326-2774 | 2011-05-27 |
| 1649420217 | Matthew Cain | Physician Assistant | 3100 Cross Creek Pkwy, Ste 200, Auburn Hills, MI 48326-2774 | 2008-09-19 |
| 1538237821 | Jill Ann Ellsasser | Physician Assistant | 3100 Cross Creek Pkwy, Suite 200, Auburn Hills, MI 48326-2774 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | AUBURN HILLS |
| Zip Code | 48326 |
Please comment or provide details below to improve the information on JOEL KUTZ.
| 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.