KATHLEEN DIANE COENEN (NPI# 1710982574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710982574 |
| Entity Type | Individual |
| Full Name | KATHLEEN DIANE COENEN |
| Credential | P.A. |
| Practice Address |
7470 Brockway Rd Brockway MI 48097-3458 |
| Practice Telephone | 8103879355 |
| Practice Fax Number | 8103879400 |
| Mailing Telephone | 8103879355 |
| Mailing Fax Number | 8103879400 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004200 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7470 BROCKWAY RD |
| City | BROCKWAY |
| State | MI |
| Zip Code | 48097-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154780930 | Brianna J Steadman | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2016-02-22 |
| 1457607251 | Melissa Mariutza | Nurse Practitioner | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2012-07-30 |
| 1902186752 | Christine Sue Harrington | Nurse Practitioner | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2011-08-25 |
| 1407146244 | Marc Christopher Brancaccio | Pharmacist | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2011-04-13 |
| 1164601290 | Family First Health Care, Yale, P.l.l.c. | Family Medicine | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2007-10-25 |
| 1851485213 | Visiting Nurse Services of Michigan | Pharmacy | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-10-02 |
| 1720189616 | Joseph Gerard Kulczewski | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-26 |
| 1245330521 | Tara R Deters | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-25 |
| 1346341385 | Carolyn Marie Richards | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-25 |
| 1366551343 | Robert Ernest Bastianelli | Pharmacist | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215065271 | Tracy Lynn Krause | Physical Therapist | 7609 Brockway Road, Yale, MI 48097 | 2007-03-01 |
| 1336247485 | Alan Rutledge Bredin | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-20 |
| 1154425312 | Hubert Frederick Conlee | Chiropractor | 211 Brockway Rd, Yale, MI 48097 | 2006-09-11 |
| 1902882814 | Seema K Doshi | Internal Medicine | 333 Gordon Drive, Yale, MI 48097 | 2005-12-22 |
| 1093887598 | Winfred Darryl Williams | Family Medicine | 333 Gordon Drive, Yale, MI 48097 | 2006-11-14 |
| 1326146317 | Mary L. Vinckier, D.d.s., P.C. | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-21 |
| 1467559849 | Mary L. Vinckier | Dentist | 333 Gordon Drive, Suite B, Yale, MI 48097 | 2006-09-20 |
| 1285277616 | Giselle Gark | Behavior Technician | 8939 Brockway Rd, Brockway, MI 48097-2403 | 2019-10-17 |
| 1811346471 | Ashley Jones | Technician, Other | 12383 Jeddo Rd, Brockway, MI 48097-2410 | 2016-06-05 |
| 1275990921 | Keith Laurain | Specialist | 11339 Jeddo Rd, Brockway, MI 48097-2511 | 2016-01-26 |
| Find all providers in zip 48097 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154780930 | Brianna J Steadman | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2016-02-22 |
| 1346341385 | Carolyn Marie Richards | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-25 |
| 1417964743 | Bruna M. Grieneisen | Physician Assistant | 1200 Wood St, Brockway, PA 15824-2118 | 2006-08-01 |
| 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 |
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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.