MRS. AMANDA DYAN ZILKA (NPI# 1588976013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588976013 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA DYAN ZILKA |
| Other Name | AMANDA DYAN ATTERBERRY |
| Credential | PA |
| Practice Address |
15450 Northline Rd Ste 101 Southgate MI 48195-2398 |
| Mailing Address |
1640 Fort St Suite D Attn Denise Trenton MI 48183-2040 |
| Practice Telephone | 7342822020 |
| Practice Fax Number | 7342822002 |
| Mailing Telephone | 7343913057 |
| Mailing Fax Number | 7343913052 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005727 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GROUP NPI HENRY FORD WYANDOTTE | 1710315932 | 01 | |
| MI | BLUE CROSS | 0H28864 | 01 |
| Street Address |
15450 NORTHLINE RD STE 101 |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252089 | Ladan Amini-oroumi | Internal Medicine | 15450 Northline Rd, Ste 101, Southgate, MI 48195-2398 | 2006-02-02 |
| 1295356772 | Priority 1 Health Pllc | Family Medicine | 15450 Northline Rd, Southgate, MI 48195-2398 | 2020-05-06 |
| 1952968836 | Kristen Marie Conner | Physician Assistant | 15450 Northline Rd, Southgate, MI 48195-2398 | 2019-05-25 |
| 1407211253 | Family Health Pharmacy LLC | Pharmacy | 15450 Northline Rd, Ste 102, Southgate, MI 48195-2398 | 2015-12-21 |
| 1912234386 | Ladan Amini Md PC | Internal Medicine | 15450 Northline Rd, Suite 101, Southgate, MI 48195-2398 | 2009-11-05 |
| 1487862140 | Lamis,inc. | Internal Medicine | 15450 Northline Rd, Suite 101, Southgate, MI 48195-2398 | 2007-05-18 |
| 1881621688 | Ammar Kanaan | Internal Medicine | 15450 Northline Rd, Suite 101, Southgate, MI 48195-2398 | 2006-06-27 |
| 1811941461 | Life Care At Home of Michigan Inc | Hospice Care, Community Based | 15450 Northline Rd, Suite 102, Southgate, MI 48195-2398 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1821417924 | Leila Akhavan Shahr Ashoub | Physician Assistant | 14523 Northline Road, Southgate, MI 48195 | 2014-04-16 |
| 1952968836 | Kristen Marie Conner | Physician Assistant | 15450 Northline Rd, Southgate, MI 48195-2398 | 2019-05-25 |
| 1174189153 | Rebecca Jo Scott | Physician Assistant | 525 Alexandria Pike Ste 320, Southgate, KY 41071-3243 | 2019-05-14 |
| 1487002218 | Fatimeh Abdallah | Physician Assistant | 13636 Dix Toledo Rd, Southgate, MI 48195-2432 | 2016-06-02 |
| 1871958744 | Saba Madhoun | Physician Assistant | 15150 Fort St, Southgate, MI 48195-1302 | 2015-12-21 |
| 1194147538 | Chelsea Ellis | Physician Assistant | 12100 Dix Toledo Rd, Southgate, MI 48195-3531 | 2014-01-18 |
| 1275883225 | Kristen Zimmer | Physician Assistant | 13636 Dix Toledo Rd, Southgate, MI 48195-2432 | 2012-09-18 |
| 1245586320 | Christina C Niemer | Physician Assistant | 525 Alexandria Pike Ste 320, Southgate, KY 41071-3243 | 2012-07-26 |
| 1386976637 | Kimberly D Keller | Physician Assistant | 12100 Dix Toledo Rd, Southgate, MI 48195-3531 | 2010-02-10 |
| 1982939732 | Kelli Lynn Frost | Physician Assistant | 15750 Northline Rd, Southgate, MI 48195-2378 | 2009-10-13 |
| Find all providers in SOUTHGATE | ||||
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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.