MRS. NUSRAT QAYYUM (NPI# 1598091134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598091134 |
| Entity Type | Individual |
| Full Name | MRS. NUSRAT QAYYUM |
| Credential | PA-C |
| Practice Address |
4005 Orchard Dr Midland MI 48670-0001 |
| Mailing Address |
4967 Crooks Rd Ste 130 Troy MI 48098-5801 |
| Practice Telephone | 9898393325 |
| Mailing Telephone | 2489521601 |
| Mailing Fax Number | 2489521614 |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005643 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4005 ORCHARD DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730168907 | Juanita M Rivera | Anesthesiology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-01-16 |
| 1235646308 | Sarah Ann Schumacher | Physician Assistant | 4005 Orchard Dr, Midland, MI 48670-2001 | 2018-01-10 |
| 1124485727 | Heidi Smithingell | Specialist/Technologist | 4005 Orchard Dr, Midland, MI 48670-0001 | 2016-01-27 |
| 1356624324 | Heather Christine Wood | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2011-09-26 |
| 1215219928 | Midmichigan Visiting Nurse Assoc | Durable Medical Equipment & Medical Supplies | 4005 Orchard Dr, Suite Level B, Midland, MI 48670-0001 | 2011-09-20 |
| 1205120045 | Jesse Myers | Internal Medicine | 4005 Orchard Dr, Midland, MI 48670-2001 | 2011-06-08 |
| 1497055438 | Debbie J Jensen | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-25 |
| 1982914149 | Courtney R Hills | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2010-10-20 |
| 1730414079 | Kristin Michelle Short | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2009-10-05 |
| 1164668828 | Christine M Johnson | Nurse Anesthetist, Certified Registered | 4005 Orchard Dr, Midland, MI 48670-0001 | 2008-12-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1366096828 | Christine Marie Pasko | Nurse Anesthetist, Certified Registered | 4000 Wellness Dr, Midland, MI 48670 | 2019-08-01 |
| 1942702493 | Joebelle Dela Cruz Ingalla | Physical Therapist | 4000 Wellness Dr, Midland, MI 48670 | 2018-03-01 |
| 1215386552 | Monica Tadros | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2016-06-07 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1487074175 | Tiffany Thalappillil Philip | Family Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2014-04-21 |
| 1730526393 | Erica Ann Waddle | Internal Medicine | 4000 Wellness Dr, Midland, MI 48670 | 2013-05-22 |
| 1871882365 | Foaz Kayali | Radiology | 4000 Wellness Dr, Midland, MI 48670 | 2011-04-05 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| Find all providers in zip 48670 | ||||
| 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 |
|---|---|---|---|---|
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023679867 | Michael Daniel Howson | Physician Assistant | 2592 N Tamarack Dr, Midland, MI 48642-7888 | 2019-06-24 |
| 1952865057 | Morgan Elizabeth Sims | Physician Assistant | 4214 Andrews Hwy Ste 110, Midland, TX 79703-4864 | 2019-01-23 |
| 1811470867 | Catherine Rhea Randall | Physician Assistant | 4401 Campus Ridge Dr Ste 2040, Midland, MI 48640-6125 | 2018-09-14 |
| 1568973675 | Eric Lee Wright | Physician Assistant | 111 E Wackerly St Ste B, Midland, MI 48642-7043 | 2017-10-16 |
| 1861917718 | Megan Amanda Dawkins | Physician Assistant | 3501 W Illinois Ave, Midland, TX 79703-5606 | 2017-08-11 |
| 1215485719 | Midland Clinic Pllc | Physician Assistant | 801 Tradewinds Blvd, Ste B, Midland, TX 79706-0000 | 2016-09-14 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1386959039 | Lori R Benninghoff | Physician Assistant | 1900 W Wall, Suite A, Midland, TX 79701-6534 | 2010-08-18 |
| 1902124266 | Deeanna Emmalynn Kenny | Physician Assistant | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2010-05-12 |
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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.