JOSIE SHORT (NPI# 1720447006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720447006 |
| Entity Type | Individual |
| Full Name | JOSIE SHORT |
| Practice Address |
127 Wheeler Street Tawas MI 48763 |
| Practice Telephone | 9892545414 |
| Mailing Telephone | 9892545414 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | S630440549927 | MI | Student, Health Care |
| Street Address |
127 WHEELER STREET |
| City | TAWAS |
| State | MI |
| Zip Code | 48763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| 1528094489 | Tawas Foot Clinic P.C. | Podiatrist | 166 M 55, Tawas City, MI 48763 | 2006-06-23 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1083221345 | Katelynn Ann Millard | Student in an Organized Health Care Education/Training Program | 3710 Tartan Cir, Portage, MI 49024-4094 | 2020-09-29 |
| 1952918377 | Ereny Demian | Student in an Organized Health Care Education/Training Program | 443 Phillips Ave, Clawson, MI 48017-1546 | 2020-09-29 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1538774849 | Grace Frederickson | Student in an Organized Health Care Education/Training Program | 820 Meadow Dr, Wayland, MI 49348-1369 | 2020-09-14 |
| 1215541685 | Rebecca Frey | Student in an Organized Health Care Education/Training Program | 3955 Mayfair St, Dearborn Heights, MI 48125-3039 | 2020-09-03 |
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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.