MARIBETH ANNE OTIS (NPI# 1538582283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538582283 |
| Entity Type | Individual |
| Full Name | MARIBETH ANNE OTIS |
| Other Name | MARIBETH ANNE FISHER |
| Credential | PA-C |
| Practice Address |
261 N Main Cedar Springs MI 49319-8041 |
| Practice Telephone | 6166962020 |
| Practice Fax Number | 6166964860 |
| Mailing Telephone | 6166962020 |
| Mailing Fax Number | 6166964860 |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006930 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
261 N MAIN |
| City | CEDAR SPRINGS |
| State | MI |
| Zip Code | 49319-8041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740234236 | White Pine Family Medicine | Physician Assistant | 261 N Main, Cedar Springs, MI 49319-9709 | 2006-05-20 |
| 1467921957 | Paige Lafavor | Physician Assistant | 261 N Main, Cedar Springs, MI 49319-8041 | 2018-11-14 |
| 1891036307 | Spectrum Health United | Internal Medicine | 261 N Main, Cedar Springs, MI 49319-8041 | 2013-03-07 |
| 1821322090 | Danielle M Sigelko | Family Medicine | 261 N Main, Cedar Springs, MI 49319-8041 | 2009-09-22 |
| 1255569794 | Matthew Anthony Larsen | Physician Assistant | 261 N Main, Cedar Springs, MI 49319-8041 | 2009-06-23 |
| 1053591289 | Northern Counseling Services PC | Community/Behavioral Health | 261 N Main, Cedar Springs, MI 49319-8041 | 2007-11-05 |
| 1053490995 | Rebecca Vansetters | Counselor | 261 N Main, Cedar Springs, MI 49319-9709 | 2006-11-02 |
| 1427062272 | White Pine Family Medicine Pllc | Clinic/Center | 261 N Main, Cedar Springs, MI 49319-9709 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218158 | Jodi Ann Cornelius | Counselor | 16519 Doe Dr Ne, Cedar Springs, MI 49319 | 2019-10-29 |
| 1235643131 | Sarah Elizabeth Martines | Behavior Technician | 64 Hemlock Ave, Cedar Springs, MI 49319 | 2017-11-30 |
| 1881834455 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319 | 2009-02-23 |
| 1588748313 | Craig Louis Wilson | Chiropractor | 26 S Main, Box 279, Cedar Springs, MI 49319 | 2006-10-25 |
| 1770502387 | Thomas Bernard Cox | Physician Assistant | 261 N. Main Street, Cedar Springs, MI 49319 | 2006-07-18 |
| 1861972986 | Kathrine E Post | Nurse Practitioner | 14211 White Creek Ave Ne, Cedar Springs, MI 49319 | 2018-08-17 |
| 1265451884 | Alissa Marie Matthews | Physician Assistant | 261 N. Main Street, Cedar Springs, MI 49319 | 2006-07-18 |
| 1598934150 | Cedar Springs Eye Care Inc | Optometrist | 26 S Main, Cedar Springs, MI 49319-5118 | 2008-02-27 |
| 1588939375 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3700 17 Mile Rd, Cedar Springs, MI 49319-7974 | 2012-03-13 |
| 1225449515 | Jason Patrick Housner | Pharmacist | 3700 17 Mile Rd Ne, Cedar Springs, MI 49319-7974 | 2014-05-08 |
| Find all providers in zip 49319 | ||||
| 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 |
|---|---|---|---|---|
| 1770502387 | Thomas Bernard Cox | Physician Assistant | 261 N. Main Street, Cedar Springs, MI 49319 | 2006-07-18 |
| 1740234236 | White Pine Family Medicine | Physician Assistant | 261 N Main, Cedar Springs, MI 49319-9709 | 2006-05-20 |
| 1467921957 | Paige Lafavor | Physician Assistant | 261 N Main, Cedar Springs, MI 49319-8041 | 2018-11-14 |
| 1255569794 | Matthew Anthony Larsen | Physician Assistant | 261 N Main, Cedar Springs, MI 49319-8041 | 2009-06-23 |
| 1194758037 | Susan Lance | Physician Assistant | 14211 White Creek Ave Ne, Cedar Springs, MI 49319-8168 | 2006-07-07 |
| 1255361044 | Therese Roys | Physician Assistant | 14211 White Creek Ave Ne, Cedar Springs, MI 49319-8168 | 2006-07-04 |
| 1124073440 | Kimberly Droski | Physician Assistant | 14211 White Creek Ave Ne, Cedar Springs, MI 49319-8168 | 2006-05-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR SPRINGS |
| Zip Code | 49319 |
Please comment or provide details below to improve the information on MARIBETH ANNE OTIS.
| 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.