LINDSEY ANN ROOSSIEN (NPI# 1598223612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598223612 |
| Entity Type | Individual |
| Full Name | LINDSEY ANN ROOSSIEN |
| Credential | PA-C |
| Practice Address |
15151 Stanton St West Olive MI 49460-8543 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 6162961020 |
| Practice Fax Number | 6162961030 |
| Mailing Telephone | 8666111512 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
5601004733 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5601004733 | 01 |
| Street Address |
15151 STANTON ST |
| City | WEST OLIVE |
| State | MI |
| Zip Code | 49460-8543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610669 | Jack Richard Roossien Jr. | Family Medicine | 15151 Stanton St, Suite A, West Olive, MI 49460-8543 | 2005-09-21 |
| 1609069244 | Eileen Marie Kishman | Physical Therapist | 15151 Stanton St, Suite B, West Olive, MI 49460-8543 | 2007-08-27 |
| 1497947618 | Physiotherapy Associates Inc | Clinic/Center | 15151 Stanton St, Ste B, West Olive, MI 49460-8543 | 2007-08-11 |
| 1740406982 | Jack R. Roossien Jr., M.d.p.c. | Family Medicine | 15151 Stanton St, Suite A, West Olive, MI 49460-8543 | 2007-04-17 |
| 1427086420 | Wendy L Bradley | Physical Therapist | 15151 Stanton St, Suite B, West Olive, MI 49460-8543 | 2006-06-29 |
| 1609802313 | Stanton Crossings Physical Therapy LLC | Physical Therapist | 15151 Stanton St, Suite B, West Olive, MI 49460-8543 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902255714 | Matthew Tornga | Family Medicine | 15151 Stanton St Ste A, West Olive, MI 49460 | 2016-06-13 |
| 1407326648 | Bryan Castillo | Physical Therapist | 14715 Mayberry Dr, Port Sheldon, MI 49460-4946 | 2018-11-30 |
| 1699119412 | Ronald Dean Mulder | Obstetrics & Gynecology | 17236 Sandgate Pl, West Olive, MI 49460-8508 | 2013-04-23 |
| 1487112389 | Jessica Lynn Roossien | Nurse Practitioner | 15151 Stanton St Ste A, West Olive, MI 49460-8544 | 2019-03-10 |
| 1235438003 | David K Craycraft | Home Health Aide | 15880 Stanton St, West Olive, MI 49460-8972 | 2011-03-19 |
| 1174148217 | Rachel Lucile Bekkering | Social Worker | 12130 Fillmore St, West Olive, MI 49460-8985 | 2020-06-15 |
| 1558786236 | Amanda Nowak | Social Worker | 12110 Fillmore St, West Olive, MI 49460-8985 | 2014-03-04 |
| 1316240906 | Victor Vermeulen | Otolaryngology | 6171 Lakeshore Dr, West Olive, MI 49460-9139 | 2010-12-21 |
| 1912368499 | Melanie Bernice Homik | Specialist/Technologist | 6860 Lakeshore Dr, West Olive, MI 49460-9213 | 2016-03-11 |
| 1659990208 | Lydias House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11667 152nd Ave, West Olive, MI 49460-9232 | 2020-04-14 |
| Find all providers in zip 49460 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
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| 1033717632 | Visiting Caring Doctors Plc | Family Medicine | 18000 W 9 Mile Rd Ste 700l, Southfield, MI 48075-4009 | 2020-10-15 |
| 1265045389 | Synchronymd Limited Liability Company | Family Medicine | 1578 Scenic Hollow Dr, Rochester Hills, MI 48306-3246 | 2020-08-28 |
| 1063045839 | Rtsmedicalgroupllc | Family Medicine | 5210 Yorkshire Rd, Detroit, MI 48224-2139 | 2020-02-19 |
| 1194234120 | Prime Mobile Care Incorporated | Family Medicine | 17515 W 9 Mile Rd Ste 375, Southfield, MI 48075-4404 | 2017-09-21 |
| 1093233132 | Right At Home Physicians Pllc | Family Medicine | 22001 Kelly Rd Ste 2, Eastpointe, MI 48021-2726 | 2017-09-08 |
| 1821531831 | Ant Hill, Inc. | Family Medicine | 21 Midland St, Highland Park, MI 48203-3727 | 2016-11-22 |
| 1518419043 | Alma Care Visiting Services | Family Medicine | 11352 Gabriel St, Romulus, MI 48174-1431 | 2016-11-01 |
| 1801341821 | Bridgette Defrance | Family Medicine | 42074 Greenwood Dr, Canton, MI 48187-3615 | 2016-08-19 |
| 1417311762 | Adam Wolfe | Family Medicine | 1101 W University Dr # 2-south, Rochester, MI 48307-1863 | 2016-04-12 |
| 1801255906 | Westland Primary Care Pllc | Family Medicine | 8311 N Wayne Rd, Westland, MI 48185-1351 | 2016-02-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST OLIVE |
| Zip Code | 49460 |
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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.