ZACHARY STUTZMAN (NPI# 1528462413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528462413 |
| Entity Type | Individual |
| Full Name | ZACHARY STUTZMAN |
| Credential | PA |
| Practice Address |
396 Remington Blvd Ste 130 Bolingbrook IL 60440-4309 |
| Practice Telephone | 6307591248 |
| Mailing Telephone | 6307591248 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | 085007592 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 12524 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
396 REMINGTON BLVD STE 130 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104192947 | Brandon Michael Pardi | Orthopaedic Surgery | 396 Remington Blvd Ste 130, Bolingbrook, IL 60440 | 2012-03-27 |
| 1770147092 | Stephen Mizera | Physician Assistant | 396 Remington Blvd Ste 130, Bolingbrook, IL 60440-4309 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| 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 |
|---|---|---|---|---|
| 1629675186 | Gina Marie Casale-ryan | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2020-10-07 |
| 1760099576 | Perry William Crawford | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2020-09-25 |
| 1912531203 | Nilam Patel | Physician Assistant | 420 S. Schmidt Road, Suite 230, Bolingbrook, IL 60440 | 2020-02-26 |
| 1235776170 | Mary Elizabeth Garrison | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2019-12-10 |
| 1770147092 | Stephen Mizera | Physician Assistant | 396 Remington Blvd Ste 130, Bolingbrook, IL 60440-4309 | 2019-04-23 |
| 1467999821 | Danielle Littrell | Physician Assistant | 149 N Weber Rd, Bolingbrook, IL 60490-1504 | 2017-01-24 |
| 1942671425 | Garret Majlinger | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2015-10-09 |
| 1265853246 | Jennifer Boyer | Physician Assistant | 1000 Remington Blvd, Suite 200, Bolingbrook, IL 60440-5114 | 2013-12-18 |
| 1871923334 | Philip Knuth | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2013-11-20 |
| 1649541731 | Karen Beth Tagtmeyer | Physician Assistant | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 | 2012-01-20 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.