MR. STEVEN V. MULRENIN (NPI# 1659595775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659595775 |
| Entity Type | Individual |
| Full Name | MR. STEVEN V. MULRENIN |
| Credential | PA-C |
| Practice Address |
24725 Jefferson Ave Saint Clair Shores MI 48080-4500 |
| Mailing Address |
14148 Patterson Dr Shelby Township MI 48315-4263 |
| Practice Telephone | 5867747800 |
| Practice Fax Number | 5867710730 |
| Mailing Telephone | 5867747800 |
| Mailing Fax Number | 5867710730 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001853 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24725 JEFFERSON AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689789273 | Gwendolyn Forbes | Pharmacy Technician | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 | 2006-08-21 |
| 1265526669 | Henry Ford Health System | Pharmacy | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 | 2006-10-03 |
| 1326150178 | Alma Danita Cabbil | Pharmacist | 24725 Jefferson Ave, Pharmacy Dept., Saint Clair Shores, MI 48080-4500 | 2006-08-31 |
| 1861502916 | Karen J. Clarke | Pharmacist | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
|---|---|---|---|---|
| 1265090799 | Eva Abiragi | Physician Assistant | 25631 Little Mack Ave Ste 104, Saint Clair Shores, MI 48081-2100 | 2019-05-30 |
| 1912564576 | Kelsey Alexandra Kusch | Physician Assistant | 21213 Francis St, Saint Clair Shores, MI 48082-1587 | 2019-05-20 |
| 1306250634 | Jacquelyn Lauren Merecki | Physician Assistant | 22531 Oconnor St, Saint Clair Shores, MI 48080-2148 | 2014-06-14 |
| 1386996858 | Nicole M Vichunas | Physician Assistant | 25123 Culver St, Saint Clair Shores, MI 48081-2121 | 2012-10-09 |
| 1083915052 | Andrea Williams | Physician Assistant | 22837 Avalon St, Saint Clair Shores, MI 48080-2468 | 2010-11-08 |
| 1609185669 | Andrea Lynn Taft | Physician Assistant | 221 Villa Ln, Saint Clair Shores, MI 48080-2737 | 2010-09-24 |
| 1790752723 | Teresa Ostaszewski | Physician Assistant | 25311 Little Mack Ave Ste B, Saint Clair Shores, MI 48081-3301 | 2006-03-08 |
| 1508480021 | Kelsey Marie Owens | Physician Assistant | 24400 Greater Mack Ave, Saint Clair Shores, MI 48080-1340 | 2020-06-01 |
| 1578113171 | Daric Alexander Mueller | Physician Assistant | 29200 Harper Ave, Saint Clair Shores, MI 48081-1274 | 2019-09-16 |
| 1730646696 | Maren Bahra | Physician Assistant | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2019-02-27 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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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.