DR. JONATHAN ANDREW DENNIS (NPI# 1578523502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578523502 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ANDREW DENNIS |
| Credential | DO |
| Practice Address |
111 Church Street Tustin MI 49688-5113 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 2318328560 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2014-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101014532 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
111 CHURCH STREET |
| City | TUSTIN |
| State | MI |
| Zip Code | 49688-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861459059 | Ann L Truax | Nurse Practitioner | 111 E Church St, Tustin, MI 49688-5114 | 2006-05-01 |
| 1407319460 | Mecosta County Medical Center | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2019-04-08 |
| 1144699125 | Heather Marie Williams | Physician Assistant | 111 E Church St, Tustin, MI 49688-5114 | 2015-09-19 |
| 1609162957 | Kali Corinne Vanstee | Physician Assistant | 111 E Church St, Tustin, MI 49688-5114 | 2011-06-24 |
| 1225236334 | Reed City Hospital Corporation | Clinic/Center | 111 E Church St, Tustin, MI 49688-5114 | 2007-07-10 |
| 1912250861 | Amanda Nixon | Physician Assistant | 202 S Howard St, Tustin, MI 49688-5123 | 2012-10-16 |
| 1578072591 | Amanda K Nixon Pa-c PC | Clinic/Center | 202 Howard St, Tustin, MI 49688-5123 | 2017-09-21 |
| 1083134886 | Amanda K Nixon Pa-c PC | Physician Assistant | 202 S Howard St, Tustin, MI 49688-5123 | 2017-06-22 |
| 1396015731 | Barbara Ann Johnson | Contractor | 20936 20 Mile Rd, Tustin, MI 49688-8021 | 2012-01-02 |
| 1578833919 | Bridget Renee Johnson | Contractor | 20090 210th Ave, Tustin, MI 49688-8210 | 2012-01-02 |
| Find all providers in zip 49688 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153389 | Innovi Healthcare Inc. | Family Medicine | 11220 Amberdale Dr, Tustin, CA 92782-4329 | 2020-04-18 |
| 1669822284 | Carrie Jasmine Lam | Family Medicine | 2492 Walnut Ave Ste 100, Tustin, CA 92780-6953 | 2016-06-14 |
| 1669859203 | Todd Macauley | Family Medicine | 2560 Bryan Ave Ste A, Tustin, CA 92782-8922 | 2015-05-04 |
| 1427336791 | Good Shepherd Medical Clinic, Inc | Family Medicine | 661 W 1st St Ste G, Tustin, CA 92780-2939 | 2011-08-03 |
| 1457566036 | Shadia Ahmed | Family Medicine | 16634 Sonora St, Tustin, CA 92782-1938 | 2007-05-14 |
| 1619064953 | Tahany Maurice Habashy | Family Medicine | 222 West Main St, Suite 102, Tustin, CA 92780-7711 | 2006-10-06 |
| 1760594790 | Anthony F Naples | Family Medicine | 13095 Jamboree Rd, Tustin, CA 92782-9150 | 2006-08-31 |
| 1760594097 | Simon Y. Chang | Family Medicine | 13522 Newport Ave, Suite 102, Tustin, CA 92780-3707 | 2006-08-31 |
| 1992760573 | Cheryl Ann Thomas | Family Medicine | 195 S C St, Ste 100, Tustin, CA 92780-3666 | 2006-04-18 |
| 1366401580 | Susan M Sharp | Family Medicine | 17400 Irvine Blvd M, Tustin, CA 92780-3030 | 2006-03-17 |
| Find all providers in TUSTIN | ||||
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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.