MRS. GAYLE ANNE ANTONELLI (NPI# 1720248016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720248016 |
| Entity Type | Individual |
| Full Name | MRS. GAYLE ANNE ANTONELLI |
| Credential | PA-C |
| Practice Address |
122 W Main St Manchester MI 48158-1002 |
| Practice Telephone | 7344288381 |
| Practice Fax Number | 7344289066 |
| Mailing Telephone | 7344288381 |
| Mailing Fax Number | 7344289066 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601002116 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
122 W MAIN ST |
| City | MANCHESTER |
| State | MI |
| Zip Code | 48158-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679776264 | Evelyn Eccles, Md | Family Medicine | 122 W Main St, Box 570, Manchester, MI 48158-1002 | 2007-06-09 |
| 1366533689 | Evelyn Eccles | Family Medicine | 122 W Main St, Box 570, Manchester, MI 48158-1002 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332651 | Jessica L Walz | Specialist/Technologist | 9235 Grossman Rd, Manchester, MI 48158 | 2017-08-16 |
| 1548464951 | Great Lakes Bay Health Centers | Clinic/Center | 4800 Esch Road, Manchester Migrant Camp, Manchester, MI 48158 | 2007-06-12 |
| 1952427841 | Bruce Alan Bates | Dentist | 500 Galloway Dr, Manchester, MI 48158 | 2007-03-22 |
| 1114083581 | Dana Ray Andrews | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1538485602 | Aaron Larock | Dentist | 126 E. Main St, Apartment 2, Manchester, MI 48158 | 2010-04-14 |
| 1427114693 | Andrews Family Chiropractic Pllc | Chiropractor | 102 S. Clinton St., Suite 1, Manchester, MI 48158 | 2006-12-29 |
| 1396930533 | Margaret Anne Steeb | Dietitian, Registered | 216 N. Washington St, Unit # 3, Manchester, MI 48158-0504 | 2007-09-11 |
| 1245246289 | David A Hanauer | Pediatrics | 39901 Traditions Drive, Suite 240, Northville, MI 48158-4401 | 2006-07-31 |
| 1104321249 | Rachel Ann Rang | Nurse Practitioner | 159 Woodland Way, Manchester, MI 48158-8585 | 2018-03-29 |
| 1215355771 | Debora Spring | Occupational Therapist | 1005 E Duncan St, 2b, Manchester, MI 48158-8599 | 2014-04-02 |
| Find all providers in zip 48158 | ||||
| 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 |
|---|---|---|---|---|
| 1578103479 | Mary Seaman | Physician Assistant | 497 Hooksett Rd # 142, Manchester, NH 03104-2632 | 2020-01-09 |
| 1619523669 | Romina Borbotsina | Physician Assistant | 2365 Elm St, Manchester, NH 03104-2207 | 2019-08-15 |
| 1750849253 | Huma Khan | Physician Assistant | 649 Middle Tpke W, Manchester, CT 06040-2760 | 2019-03-04 |
| 1457844474 | Coffee County Board of Education | Physician Assistant | 1343 Mcarthur St, Manchester, TN 37355-2425 | 2018-06-13 |
| 1275026049 | Senait B. Taffere | Physician Assistant | 8 Northbrook Dr Unit 805, Manchester, NH 03102-8564 | 2018-06-07 |
| 1891029377 | Rachael Anne Gilbert | Physician Assistant | 87 Mcgregor St Ste 3100, Manchester, NH 03102-3766 | 2009-09-30 |
| 1376689356 | Mark E. Simmons | Physician Assistant | Hospitalist Program - Elliot Hospital, One Elliot Way, Manchester, NH 03103 | 2007-01-29 |
| 1447334933 | Catherine Marie Patterson | Physician Assistant | 1300 Mcarthur St, Manchester, TN 37355-2426 | 2006-10-24 |
| 1457446346 | Heather S Tibbs | Physician Assistant | 100 Mcgregor Street, Manchester, NH 03102 | 2006-10-04 |
| 1356359889 | Kim Marie Latterner | Physician Assistant | 115 Hickory Dr, Manchester, PA 17345-9502 | 2006-08-03 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 48158 |
Please comment or provide details below to improve the information on MRS. GAYLE ANNE ANTONELLI.
| 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.