JENNIFER MICHELLE YATCHAK BALISI (NPI# 1619133014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619133014 |
| Entity Type | Individual |
| Full Name | JENNIFER MICHELLE YATCHAK BALISI |
| Credential | P.A. |
| Practice Address |
602 Michigan Ave Holland MI 49423-4918 |
| Practice Telephone | 6163943203 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005716 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085.003251 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 777 Park Ave W, Highland Park, IL 600352433 | 8474328000 |
| Street Address |
602 MICHIGAN AVE |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749873 | Gregory A Bernath | Internal Medicine | 602 Michigan Ave, Holland, MI 49423-4918 | 2005-08-31 |
| 1962044115 | Kellie Timmer | Physician Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-10-09 |
| 1407407547 | Erin Rene Vochaska | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-09-20 |
| 1134783335 | Trisha Rae Meyers | Social Worker | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-04-24 |
| 1013487271 | Nicholas Russell | Physical Therapist | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-11-30 |
| 1316415458 | David John Stearns | Physical Therapy Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-11-07 |
| 1710452172 | Linda Nichols | Physical Therapy Assistant | 602 Michigan Ave, Holland, MI 49423 | 2018-10-11 |
| 1932684172 | Courtney M Kraker | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-10-02 |
| 1912487638 | Holland Community Hospital | Internal Medicine | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-08-21 |
| 1376030411 | Kurt Feringa | Nurse Anesthetist, Certified Registered | 602 Michigan Ave, Holland, MI 49423 | 2018-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| 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 |
|---|---|---|---|---|
| 1881167245 | Marathon Health, LLC | Physician Assistant | 284 Roost Ave, Holland, MI 49424-2032 | 2019-01-09 |
| 1306395322 | Therese Lungaro-pike | Physician Assistant | 3232 N Wellness Dr Bldg B, Holland, MI 49424-8027 | 2016-10-03 |
| 1255797643 | Matthew Dale Myaard | Physician Assistant | 370 N. 120th Ave, Holland, MI 49424-2196 | 2016-01-14 |
| 1770897084 | Shauna Brianne Wishka | Physician Assistant | 12330 James St, H-10, Holland, MI 49424-8689 | 2010-07-28 |
| 1952559288 | Carolyn Howe Mossing | Physician Assistant | 168 E 13th St, Holland, MI 49423-3624 | 2008-08-28 |
| 1255430294 | Eugene Michael Biegelman | Physician Assistant | 854 S Washington, Ste 330, Holland, MI 49423 | 2006-09-22 |
| 1124069497 | Angela Burch | Physician Assistant | 646 S Waverly Rd, Holland, MI 49423-9121 | 2006-06-09 |
| 1467499111 | Amanda Mishler | Physician Assistant | 2556 Van Ommen Dr, Holland, MI 49424-8208 | 2006-06-01 |
| 1124625975 | Gregory Scott Post | Physician Assistant | 370 120th Ave, Holland, MI 49424-2120 | 2020-10-05 |
| 1962044115 | Kellie Timmer | Physician Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-10-09 |
| Find all providers in HOLLAND | ||||
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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.