JEFFREY LEE DANIELS (NPI# 1649403551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649403551 |
| Entity Type | Individual |
| Full Name | JEFFREY LEE DANIELS |
| Credential | PA-C |
| Practice Address |
1535 Gull Rd Ste 200 Kalamazoo MI 49048-1638 |
| Practice Telephone | 2693886350 |
| Practice Fax Number | 2693886360 |
| Mailing Telephone | 2693886350 |
| Mailing Fax Number | 2693886360 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005572 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 1417961137 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619122785 | Jeffrey F Daniels | Chiropractor | 6650 Browning Rd Rm U12, Pennsauken, NJ 08109-1479 | 2008-11-17 |
| 1942224779 | Jeffrey A Daniels | General Practice | 100 Beaverhead Trail, Big Sky, MT 59716-0609 | 2006-07-26 |
| 1336778273 | Jeffrey Daniels | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2020-04-03 |
| 1437615986 | Jeffrey Daniels | Counselor | 3746 Prospect Ave E, Cleveland, OH 44115-2706 | 2019-02-20 |
| 1346699436 | Jeffrey Daniels | Physical Therapist | 5780 Airline Rd Ste 109, Arlington, TN 38002-5982 | 2016-06-09 |
| 1659344307 | Jeffrey S Daniels | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2006-02-10 |
| 1538130471 | Jeffrey Daniels | Orthopaedic Surgery | 502 Centennial Blvd, Suite 6, Voorhees, NJ 08043-9544 | 2006-01-30 |
| Street Address |
1535 GULL RD STE 200 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134119886 | John Hopkins | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2005-10-25 |
| 1982125746 | Kali Barrow | Nurse Practitioner | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2017-07-03 |
| 1184983769 | David Schaumburg Mosbach | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2012-05-16 |
| 1578791141 | Yulia Valerievna Volokhina | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2009-06-23 |
| 1801031547 | Matthew Cummings | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2008-12-09 |
| 1619133907 | Crystal Mumford | Physician Assistant | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2008-08-06 |
| 1114181815 | Scott Thomas Lange | Radiologic Technologist | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2008-07-11 |
| 1245410240 | Laurene C. Mann | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2007-11-07 |
| 1801087374 | Brandon Sabah Tominna | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-08-08 |
| 1750503181 | Kenneth D Kreitel | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| 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 |
|---|---|---|---|---|
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1619574654 | Conor Mccabe | Physician Assistant | 2413 Logan Ave, Kalamazoo, MI 49008-3949 | 2020-10-02 |
| 1134766942 | Scott E Boyd | Physician Assistant | 8071 N 6th St, Kalamazoo, MI 49009-8808 | 2019-12-01 |
| 1720566847 | Lydia Chardel Bruenjes | Physician Assistant | 6565 W Main St #100, Kalamazoo, MI 49009-9199 | 2018-07-31 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1467901892 | Brian Christopher Rensch | Physician Assistant | 916 Austin St, Kalamazoo, MI 49008-1105 | 2016-09-27 |
| 1427415462 | Katelyn Vasicek | Physician Assistant | 601 John St Ste M-302, Kalamazoo, MI 49007 | 2016-01-21 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1700291549 | Lauren Gilbertson | Physician Assistant | 1722 Shaffer St Ste 3, Kalamazoo, MI 49048-1633 | 2014-06-30 |
| 1447445002 | Jennifer Hurtt | Physician Assistant | 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 | 2007-09-07 |
| Find all providers in KALAMAZOO | ||||
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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.