MARY JANE GREGORY (NPI# 1649302464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649302464 |
| Entity Type | Individual |
| Full Name | MARY JANE GREGORY |
| Credential | PA |
| Practice Address |
1500 E Medical Center Drive 3rd Floor Cardiovascular Center Recp C Ann Arbor MI 48109-5864 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 8882871082 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002416 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN STATE LICENSE | 5601002416 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21800 Haggerty Rd Ste 113, Northville, MI 481679051 | 8888823783 | 8886673531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881245603 | Mary Salem Gregory | Counselor | 1405 Wind Castle Trl, Indianapolis, IN 46280-2726 | 2019-09-23 |
| 1336257252 | Mary E Gregory | Dentist | 4500 Old Dominion Drive, Arlington, VA 22207 | 2006-08-29 |
| 1578521035 | Mary Susan Gregory | Dietitian, Registered | 118 Hamby Rd, Dobson, NC 27017-8471 | 2006-05-03 |
| 1275090581 | Mary Gregory | Registered Nurse | 560 W 168th St, New York, NY 10032-3917 | 2019-02-22 |
| 1316401466 | Mary Bailey Gregory | Behavioral Analyst | 1400 Mccallie Ave Ste 100, Chattanooga, TN 37404-2927 | 2019-01-23 |
| 1043463755 | Mary Todd Gregory | Speech-Language Pathologist | 240 E Main St, Gregory Building, Mount Vernon, KY 40456-2210 | 2008-10-25 |
| 1609026715 | Mary Gregory | Counselor | 300 Howard St, Framingham, MA 01702-8313 | 2008-09-25 |
| 1376710970 | Mary Lee Gregory | Psychiatry & Neurology | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2008-05-13 |
| 1376750547 | Mary Eva Gregory | Nutritionist | 1809 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2007-05-17 |
| 1477626661 | Mary Lynn Gregory | Optometrist | 560 Cedar Street, Monticello, MN 55362-8403 | 2006-11-16 |
| Street Address |
1500 E MEDICAL CENTER DRIVE 3RD FLOOR CARDIOVASCULAR CENTER RECP C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016805 | Barbara Rose Van Kainen | Midwife | 1500 E Medical Center Drive, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109-4256 | 2005-07-14 |
| 1598372716 | Stephen Kofi Wemakor | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-09-30 |
| 1073138707 | Brigit Devine Baglien | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 2130 Taubman Center, Spc 5340, Ann Arbor, MI 48109 | 2020-06-09 |
| 1598388605 | Madison Veronica Epperson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109-5312 | 2020-05-22 |
| 1811510175 | Nathan Emery Loudon | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1 502, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-21 |
| 1770106304 | Drew Jackson Braet | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 5346 Cvc Spc 5967, Ann Arbor, MI 48109 | 2020-05-18 |
| 1710509872 | Lawrence Jordan Breyfogle | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1d530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-12 |
| 1649891631 | Apoorv Dhir | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1659992741 | Kristian Marquis Black | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1972124063 | Jake Claflin | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
| Find all providers in zip 48109 | ||||
| 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 |
|---|---|---|---|---|
| 1609483080 | Bernice Li | Physician Assistant | 2299 Hickory Point Dr, Ann Arbor, MI 48105-9291 | 2020-09-29 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1992278444 | Torsten B Berg | Physician Assistant | 2906 Chesterfield St, Ann Arbor, MI 48104-6512 | 2019-01-08 |
| 1548658644 | Ashley Lopresto | Physician Assistant | 2000 Green Rd, Ste 300, Emergency Physicians Medical Group, Ann Arbor, MI 48105 | 2014-12-26 |
| 1255565685 | Erin Elizabeth Van Tiem | Physician Assistant | 706 W Huron St Ste 201, Ann Arbor, MI 48103 | 2009-05-13 |
| 1508943663 | Jason J Grove | Physician Assistant | 1500 E Medical Center Dr, 3rd Floor Recp. A Room 3660a, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4252 | 2006-11-01 |
| 1205852902 | Kevin C Eves | Physician Assistant | 2098 South Main Street, Ann Arbor, MI 48103 | 2006-07-14 |
| 1336199165 | Suzanne Beth Eiss | Physician Assistant | 2098 South Main St, Ann Arbor, MI 48103-5827 | 2006-05-11 |
| 1811946379 | Christianne Elizabeth Marshall | Physician Assistant | 1500 East Medical Center Dr, 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109-4217 | 2006-05-10 |
| 1699734939 | Richard J Sartori | Physician Assistant | 706 W. Huron St, Ann Arbor, MI 48103 | 2006-03-23 |
| Find all providers in ANN ARBOR | ||||
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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.