MRS. DEBORAH LEE JAGOTKA (NPI# 1619416344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619416344 |
Entity Type | Individual |
Full Name | MRS. DEBORAH LEE JAGOTKA |
Credential | AEMT |
Practice Address |
5922 Leroux Rd Newport MI 48166-9509 |
Practice Telephone | 7345520920 |
Mailing Telephone | 7345520920 |
Enumeration Date | 2017-02-14 |
Last Update Date | 2017-02-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146L00000X | Emergency Medical Technician, Paramedic | 3201009467 | MI | Emergency Medical Service Providers |
Street Address |
5922 LEROUX RD |
City | NEWPORT |
State | MI |
Zip Code | 48166-9509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558801571 | Elizabeth Magyar | Behavior Technician | 342 Yorkshire, Newport, MI 48166 | 2017-02-24 |
1891935151 | Oakwood Ambulatory, LLC | Family Medicine | 3132 Newport, Suite 107, Newport, MI 48166 | 2009-02-26 |
1417144932 | Paul Wesley Mikels | Social Worker | 7521 N Telegraph, Suite 1, Monroe, MI 48166 | 2007-09-28 |
1336379569 | Anna Hehl-bisson | Family Medicine | 3132 Newport Rd, North Park Plaza, Newport, MI 48166-6100 | 2009-07-22 |
1043523954 | Nicholas E Boggs | Family Medicine | 3132 Newport Rd, Newport, MI 48166-6100 | 2010-07-20 |
1003865973 | Second Generation Home Health Care | Durable Medical Equipment & Medical Supplies | 7790 Audubon Ln, Newport, MI 48166-6601 | 2006-05-09 |
1477556678 | Shelly J. Temperley | Ophthalmology | 8322 Hunter's Ridge Dr, Newport, MI 48166-7804 | 2005-05-23 |
1134138480 | Katie Focht | Physician Assistant | 9102 Rockhill Ln, Newport, MI 48166-7818 | 2006-08-05 |
1295103570 | Shardae Clark | Licensed Practical Nurse | 4127 Stone Post Rd, Newport, MI 48166-7830 | 2015-09-03 |
1558689737 | Newport Sav-mor | Pharmacy | 7505 Grafton Rd, Newport, MI 48166-8908 | 2010-05-12 |
Find all providers in zip 48166 |
Taxonomy Code | 146L00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Paramedic |
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425727 | Michael Douglas Christy | Emergency Medical Technician, Paramedic | 7728 21 Mile Rd, Shelby Township, MI 48317-4308 | 2020-10-24 |
1649883000 | John Horvath | Emergency Medical Technician, Paramedic | 387 Cleveland St, Trenton, MI 48183-1206 | 2020-08-26 |
1073121679 | Nelson Wyche Webb IIi | Emergency Medical Technician, Paramedic | 4901 Big Oak Trail Dr, Troy, MI 48098-4152 | 2020-07-20 |
1659902518 | Lawrence J Basaj | Emergency Medical Technician, Paramedic | 38550 Meadowdale St Apt 7, Clinton Township, MI 48036-3533 | 2020-01-30 |
1649743923 | James Jacob Vanoverbeke | Emergency Medical Technician, Paramedic | 1200 E Telegraph Rd., Pontiac, MI 48341 | 2019-01-09 |
1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
1851757942 | Mark Reinink | Emergency Medical Technician, Paramedic | 15884 Beach Dr, Spring Lake, MI 49456-1804 | 2016-01-06 |
1558588582 | Shahzad S Qureshi | Emergency Medical Technician, Paramedic | 21000 Middlebelt Rd Ste C, Farmington Hills, MI 48336-5546 | 2007-04-19 |
1508931684 | Archy's & Sons, Inc | Emergency Medical Technician, Paramedic | 4148 Legion Dr, Mason, MI 48854-2546 | 2006-11-22 |
1386670933 | Sturgis Fire Ambulance | Emergency Medical Technician, Paramedic | 124 N Nottawa St, 201 Broadus St., Sturgis, MI 49091-1433 | 2006-06-24 |
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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.