MR. STEVEN MICHAEL GENTZ (NPI# 1598858292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598858292 |
Entity Type | Individual |
Full Name | MR. STEVEN MICHAEL GENTZ |
Credential | RN. MS. CS. |
Practice Address |
2215 Fuller Rd. Ann Arbor MI 48105 |
Mailing Address |
4122 Sylvan Rd. Grass Lake MI 49240 |
Practice Telephone | 7348453041 |
Practice Fax Number | 7342227648 |
Mailing Telephone | 7347697100 |
Mailing Fax Number | 7347697416 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-12-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704170054 | MI | Nursing Service Providers |
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
4704170054 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2215 FULLER RD. |
City | ANN ARBOR |
State | MI |
Zip Code | 48105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538667373 | Megan Elizabeth Mills | Pharmacist | 2215 Fuller Rd., Ann Arbor, MI 48105-2303 | 2018-01-26 |
1487805636 | Bradley Doran Harris | Specialist | 2215 Fuller Rd., Va Medical Center - 121, Ann Arbor, MI 48105 | 2008-10-07 |
1215184379 | Asha Rani Kaza | Radiology | 2215 Fuller Rd., Va Ann Arbor Healthcare System, Ann Arbor, MI 48105 | 2008-08-20 |
1427139955 | Joyce E Fraker | Occupational Therapist | 2215 Fuller Rd., Ann Arbor, MI 48105 | 2006-10-18 |
1366532327 | Thomas Michael Ross | Social Worker | 2215 Fuller Rd., Social Work Service, Ann Arbor, MI 48105-2323 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
Find all providers in zip 48105 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407471782 | Essential Care Medical Center | Clinical Nurse Specialist | 3120 Carpenter St Ste 207, Hamtramck, MI 48212-2771 | 2020-06-11 |
1508103920 | Cheryl Ann Zimlich | Clinical Nurse Specialist | 5500 Armstrong Road (11c), Va Medical Center, Battle Creek, MI 49037 | 2013-01-04 |
1548592249 | Debra Sl Remley | Clinical Nurse Specialist | 3947 Nelson Dr, Newport, MI 48166-9007 | 2010-02-04 |
1790970002 | Deborah L. Edford | Clinical Nurse Specialist | 3413 Bemis Rd, Ypsilanti, MI 48197-9307 | 2007-09-10 |
1295800134 | Lynda Kay Suciu | Clinical Nurse Specialist | 6289 Burningtree Dr, Burton, MI 48509-2610 | 2006-11-22 |
1346790920 | Cynthia J Papendick Inc | Clinical Nurse Specialist | 16170 Red Arrow Hwy, Suite C-8, Union Pier, MI 49129-9473 | 2016-10-07 |
1336450600 | Josephine Anne Grider | Clinical Nurse Specialist | 30600 Telegraph Rd, Suite 3275, Bingham Farms, MI 48025-4530 | 2010-07-01 |
1760614721 | Megan M Bronson | Clinical Nurse Specialist | 4877 Meandering Creek Dr Ne, Belmont, MI 49306-9662 | 2009-08-10 |
1043455702 | Michele Marie Corker | Clinical Nurse Specialist | 4646 John R, John D. Dingell Va Medical Center, Detroit, MI 48201 | 2008-12-10 |
1457540536 | Mark David Loszewski | Clinical Nurse Specialist | 4646 John R St, Mental Health Clinic, Detroit, MI 48201-1916 | 2007-10-15 |
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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.