LEONHARD J MAENDEL (NPI# 1629138854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629138854 |
| Entity Type | Individual |
| Full Name | LEONHARD J MAENDEL |
| Credential | P.A. |
| Practice Address |
223 N Park St Boyne City MI 49712-1220 |
| Practice Telephone | 2315825314 |
| Practice Fax Number | 2315825338 |
| Mailing Telephone | 2315825314 |
| Mailing Fax Number | 2315825338 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002674 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PTAN | M32390011 | 01 |
| Street Address |
223 N PARK ST |
| City | BOYNE CITY |
| State | MI |
| Zip Code | 49712-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518971654 | Mark C Antonishen | Internal Medicine | 223 N Park St, Boyne City, MI 49712-1220 | 2006-07-27 |
| 1154866408 | Lisa Marie Thiel | Social Worker | 223 N Park St, Boyne City, MI 49712-1220 | 2016-12-22 |
| 1255779484 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 223 N Park St, Boyne City, MI 49712-1220 | 2013-06-10 |
| 1790867216 | Munson Healthcare Charlevoix Hospital | Family Medicine | 223 N Park St, Boyne City, MI 49712-1220 | 2006-10-20 |
| 1417068891 | Amy L Mitchell | Family Medicine | 223 N Park St, Boyne City, MI 49712-1220 | 2006-08-31 |
| 1619088044 | Pamela R Knysz | Family Medicine | 223 N Park St, Boyne City, MI 49712-1220 | 2006-08-31 |
| 1992816334 | Andrea L Wendling | Family Medicine | 223 N Park St, Boyne City, MI 49712-1220 | 2006-08-31 |
| 1386755726 | Catherine A Wonski | Family Medicine | 223 N Park St, Boyne City, MI 49712-1220 | 2006-08-31 |
| 1194836502 | Michael J Harmeling | Family Medicine | 223 N Park St, Boyne City, MI 49712-1220 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760319 | Pyramid of Hope Counseling, LLC | Counselor | 5 W. Main Street, Unit #3, Boyne City, MI 49712 | 2017-10-05 |
| 1992115679 | Rebecca L Dionne | Counselor | 101 River Street, Suite 100, Boyne City, MI 49712 | 2014-05-02 |
| 1255516597 | James Edward Straley | Dentist | 202 North Lake Street, Boyne City, MI 49712 | 2008-01-06 |
| 1538208657 | Edward Allan Fritch Jr. | Family Medicine | 719d N Lake St, Boyne City, MI 49712 | 2007-02-05 |
| 1992856884 | Christopher Fair | Chiropractor | 200 Air Industrial Park Drive, Boyne City, MI 49712 | 2007-01-16 |
| 1851371124 | Dennis Edward Kirkby | Dentist | 112 E Main St, Boyne City, MI 49712 | 2006-01-20 |
| 1417935040 | Carrie Jean-borowski Bollmann | Nurse Practitioner | 1249 M-75 South, Boyne City, MI 49712 | 2006-01-04 |
| 1588150064 | Echocardiography On Wheels, Lc | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-07 |
| 1811483571 | Tiffany Marie Faulknor | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-05 |
| 1679631923 | Boyne City Dental | Dentist | 830 State St, Boyne City, MI 49712 | 2006-12-05 |
| Find all providers in zip 49712 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | BOYNE CITY |
| Zip Code | 49712 |
Please comment or provide details below to improve the information on LEONHARD J MAENDEL.
| 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.