REBECCA RAE MAHN (NPI# 1558836650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558836650 |
| Entity Type | Individual |
| Full Name | REBECCA RAE MAHN |
| Other Name | REBECCA RAE SHINELDECKER |
| Credential | PA-C |
| Practice Address |
1700 Clinton St Muskegon MI 49442-5502 |
| Mailing Address |
6250 Heights Ravenna Rd Fruitport MI 49415-8697 |
| Practice Telephone | 2317284601 |
| Practice Fax Number | 2317285777 |
| Mailing Telephone | 2317421983 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008867 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487188207 | Rebecca Mahn | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016 | 2017-04-18 |
| Street Address |
1700 CLINTON ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49442-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230671 | Great Lakes Specialty Hosptial - Hackley LLC | Long Term Care Hospital | 1700 Clinton St, 2 South, 2nd and 3rd Floors, Muskegon, MI 49442-5502 | 2005-07-28 |
| 1619594959 | Marstie Sue Bunting | Registered Nurse | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-07-02 |
| 1164044830 | Justin R Staley | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-05-15 |
| 1184253312 | Bernadette Mcdermott Dazzo | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-04-08 |
| 1205465143 | Eric James Applebach | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-04-03 |
| 1982233888 | Hannah Grace Keirnan Skok | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-04-03 |
| 1114556073 | Uzair Mohammad Raja | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-04-03 |
| 1730718784 | Angelic Shonta Dye | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-04-02 |
| 1932738960 | Stephanie Elizabeth Song | Student in an Organized Health Care Education/Training Program | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-04-02 |
| 1578199477 | Brigid M Kiley | Emergency Medicine | 1700 Clinton St, Muskegon, MI 49442-5502 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472321 | Beacon of Light Counseling LLC | Social Worker | 1515 E Laketon Ave, Muskegon, MI 49442 | 2019-11-24 |
| 1528524410 | Tyler Companion | Social Worker | 710 Mclaughlin, Muskegon, MI 49442 | 2019-02-15 |
| 1427549658 | Amber Renee Davidson | Behavioral Analyst | 1175 Wesley Street, Muskegon, MI 49442 | 2018-05-23 |
| 1528559085 | Katherine Dale Kirby | Obstetrics & Gynecology | Mercy Health Hackley, 1700 Clinton St., Muskegon, MI 49442 | 2018-05-21 |
| 1023524303 | Aaron James Dortch | Social Worker | 571 E Appleave, Muskegon, MI 49442 | 2017-12-21 |
| 1043737554 | Jessica Nicole Moskalewski | Social Worker | 125 E. Catherine, Muskegon, MI 49442 | 2017-08-25 |
| 1427587831 | Cristina J Walcott | Social Worker | 1611 Oak Avenue, Muskegon, MI 49442 | 2017-06-08 |
| 1104352244 | Jessica Lee Bailey-yabani | Counselor | 35 S Sheridan Dr, Muskegon, MI 49442 | 2017-05-11 |
| 1538514518 | Andrew G Gregson | Internal Medicine | 1675 Leahy Street Suite 201a, Muskegon, MI 49442 | 2016-04-27 |
| 1487038287 | Mark Charles Kaufman | Social Worker | 1611 Oak Ave., Muskegon, MI 49442 | 2015-07-13 |
| Find all providers in zip 49442 | ||||
| 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 |
|---|---|---|---|---|
| 1053947176 | Audra Langlois | Physician Assistant | 1675 Leahy St Ste 401, Muskegon, MI 49442-5544 | 2020-03-20 |
| 1306353222 | Ryan Hobby | Physician Assistant | 1400 Mercy Dr # 100, Muskegon, MI 49444-1836 | 2017-12-30 |
| 1427563527 | Jamie Lynn Vaughan | Physician Assistant | 1212 E Sherman Blvd Ste 2, Muskegon, MI 49444-1879 | 2017-12-11 |
| 1437462942 | Elizabeth Kay Lubbers | Physician Assistant | 1700 Clinton St., Muskegon, MI 49442 | 2010-07-26 |
| 1316177496 | Thomas Allen La Nore | Physician Assistant | 3214 Glenside Blvd, Muskegon, MI 49441-3976 | 2009-07-22 |
| 1922248772 | Mercy Health Partners - Physician Specialist | Physician Assistant | 1778 Sanford St, Muskegon, MI 49441-2537 | 2009-03-05 |
| 1629010384 | Mercy Specialty Services | Physician Assistant | 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444 | 2006-06-10 |
| 1548247323 | Daniel Caldwell | Physician Assistant | 1150 E Sherman Blvd, Suite 1125, Muskegon, MI 49444-1871 | 2005-12-22 |
| 1770574634 | Kellie A Laskowski | Physician Assistant | 1325 E Sherman Blvd, Muskegon, MI 49444-1813 | 2005-10-31 |
| 1255339479 | Deborah Ann Posthumus | Physician Assistant | 6207 Harvey St, Ste A, Muskegon, MI 49444-7861 | 2005-07-12 |
| Find all providers in MUSKEGON | ||||
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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.