NICOLE PIETSCH (NPI# 1588139190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588139190 |
| Entity Type | Individual |
| Full Name | NICOLE PIETSCH |
| Credential | PA-C |
| Practice Address |
N10561 Grandview Ln Ironwood MI 49938-9622 |
| Practice Telephone | 9069322525 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008851 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
N10561 GRANDVIEW LN |
| City | IRONWOOD |
| State | MI |
| Zip Code | 49938-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923455 | Khalil M Nasrallah | Psychiatry & Neurology | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2006-05-25 |
| 1427543750 | Brittany Sue Schneller | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2018-06-28 |
| 1699122861 | Aspirus Ironwood Hospital & Clinics, Inc. | Emergency Response System Companies | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2016-05-18 |
| 1942663877 | Nicole Jeanine Sederholm | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2016-03-29 |
| 1316341571 | Kelsey Ladwig | Nurse Anesthetist, Certified Registered | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2014-10-17 |
| 1639582091 | Aspirus Wausau Hospital, Inc. | Internal Medicine | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2014-06-03 |
| 1588925101 | Heather Kirsten Nyman | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2012-05-30 |
| 1316218639 | Carl Green | Nurse Anesthetist, Certified Registered | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2012-01-18 |
| 1316220981 | Michelle N Ansley | Nurse Practitioner | N10561 Grandview Ln, Ironwood, MI 49938-9622 | 2011-09-21 |
| 1437437894 | Carla Marie Loeffler | Physical Therapist | N10561 Grandview Ln, Physical Therapy/rehab Department, Ironwood, MI 49938-9622 | 2011-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319661 | Jonathon Rulseh | Physical Therapy Assistant | 10561 Grandview Ln, Ironwood, MI 49938 | 2020-06-08 |
| 1295107704 | Susanna Lee Harris | Counselor | 220 Roosevelt St, Ironwood, MI 49938 | 2015-10-22 |
| 1609214600 | Eve J. Komosa | Physician Assistant | N. 10561 Grand View Lane, Aspirus Grand View, Ironwood, MI 49938 | 2013-06-12 |
| 1255629861 | Tatyana G Bombard | Radiology | Aspirus Ironwood Hospital, N10561 Grand View Lane, Ironwood, MI 49938 | 2011-07-17 |
| 1205140761 | Allison Harr | Advanced Practice Midwife | N 10565 Grandview Lane, Ironwood, MI 49938 | 2010-07-27 |
| 1821267956 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 220 Rooselvelt Street, Ironwood, MI 49938 | 2008-02-22 |
| 1215106349 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 | 2008-02-22 |
| 1740466176 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 10305 Country Club Road, Ironwood, MI 49938 | 2008-01-16 |
| 1396811121 | Rebecca Lynn Mika | Occupational Therapist | 1310 E Cloverland Dr, Ironwood, MI 49938 | 2006-11-24 |
| 1306940432 | Marsha Miller Toohey | Chiropractor | 129 E Ayer St, Ironwood, MI 49938 | 2006-09-11 |
| Find all providers in zip 49938 | ||||
| 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 |
|---|---|---|---|---|
| 1609214600 | Eve J. Komosa | Physician Assistant | N. 10561 Grand View Lane, Aspirus Grand View, Ironwood, MI 49938 | 2013-06-12 |
| 1689677353 | Andrew John Tait | Physician Assistant | N10565 Grandview Ln, Ironwood, MI 49938-9622 | 2005-05-24 |
| 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 |
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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.