KIMBERLEE M PARKS (NPI# 1639485527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639485527 |
| Entity Type | Individual |
| Full Name | KIMBERLEE M PARKS |
| Other Name | KIMBERLEE M LONGHINI |
| Credential | P.A. |
| Practice Address |
1414 W Fair Ave Suite 342 Marquette MI 49855-2675 |
| Mailing Address |
1414 W Fair Ave Ste. 334 Marquette MI 49855-2675 |
| Practice Telephone | 9062253870 |
| Practice Fax Number | 9062253975 |
| Mailing Telephone | 9062253870 |
| Mailing Fax Number | 9062253975 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2011-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5601005833 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1414 W FAIR AVE SUITE 342 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090994 | John P Bartlett | Internal Medicine | 1414 W Fair Ave, Ste 201, Marquette, MI 49855-5406 | 2005-06-02 |
| 1255995726 | Jennifer Helen Johnson | Pharmacist | 1414 W Fair Ave, Ste 133, Marquette, MI 49855-5408 | 2019-04-30 |
| 1205336260 | Adfinitas Health At Up Marquette, Pllc | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-02-16 |
| 1770091381 | Adfinitas Health At Marquette, LLC | Hospitalist | 1414 W Fair Ave, Marquette, MI 49855-2675 | 2018-01-17 |
| 1982139929 | Jeffrey Sweers | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-27 |
| 1598290991 | Rebecca Reinertsen | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
| 1265967665 | Dexter D Clark | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2017-04-24 |
| 1972956860 | William Barker | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-07-15 |
| 1093165763 | Kathryn Lerche | Family Medicine | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
| 1699125377 | Riley Torreano | Student in an Organized Health Care Education/Training Program | 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 | 2016-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190218 | Alisha A Wasilewski | Physician Assistant | 580 W Magnetic St, Marquette, MI 49855-2713 | 2006-01-27 |
| 1558987313 | Chelsea E Greenleaf | Physician Assistant | 1414 W Fair Ave Ste 190, Marquette, MI 49855-5406 | 2020-06-17 |
| 1538267638 | Amy Hautau Snyder | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2705 | 2006-09-20 |
| 1508877622 | Lynda Jo Foley | Physician Assistant | 1414 W Fair Ave, Suite 149, Marquette, MI 49855-2675 | 2006-08-11 |
| 1912987116 | Barb Maszlewski | Physician Assistant | 580 W College Ave, Marquette, MI 49855-2705 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835303 | Gerard M Lefebvre Jr. | Physician Assistant | 5301 Mcauley Dr Ste 5112, Ypsilanti, MI 48197-1051 | 2019-11-08 |
| 1548611023 | Michael Scott Schaeffer II | Physician Assistant | 58070 Montego Dr, New Hudson, MI 48165-9735 | 2016-06-27 |
| 1700248176 | Katilyn Kohl | Physician Assistant | 3990 John R St Ste 4905, Detroit, MI 48201-2018 | 2016-03-24 |
| 1881052363 | Surgical Assist, Plc | Physician Assistant | 4409 Gaylord Dr, Troy, MI 48098-4458 | 2016-01-29 |
| 1710342134 | Evan Reid Vandenbosch | Physician Assistant | 36622 5 Mile Rd, Suite 101, Livonia, MI 48154-1900 | 2015-12-30 |
| 1619368008 | Matthew Eisen | Physician Assistant | 1560 E Sherman Blvd Ste 9, Muskegon, MI 49444-1867 | 2015-02-06 |
| 1609214972 | Jennifer Lynn Krishnan | Physician Assistant | 3601 E 13 Mile Rd, Royal Oak, MI 48073-6769 | 2013-06-10 |
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1669707170 | Luke Thomas Dillon | Physician Assistant | 3100 Cross Creek Pkwy Ste 200, Auburn Hills, MI 48326-2776 | 2009-10-16 |
| 1912139544 | Richard Lawrence Burgett Sr. | Physician Assistant | 4327 Stone Ridge Dr, Traverse City, MI 49684-7958 | 2009-08-15 |
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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.