HANNAH JO BADER (NPI# 1750826343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750826343 |
Entity Type | Individual |
Full Name | HANNAH JO BADER |
Credential | PA |
Practice Address |
10383 42nd Ave Allendale MI 49401 |
Mailing Address |
5900 Byron Center Ave Sw Medical Administration Wyoming MI 49519-9606 |
Practice Telephone | 6162526030 |
Practice Fax Number | 6162526035 |
Mailing Telephone | 6162526030 |
Mailing Fax Number | 6162526035 |
Enumeration Date | 2017-01-05 |
Last Update Date | 2018-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5601008059 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1750826343 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
10383 42nd Ave, Allendale, MI 494018207 | 6162526030 | 6162526035 |
1525 E Beltline Ave Ne, Suite 101, Grand Rapids, MI 495254598 | 6163630055 | 6163635180 |
Street Address |
10383 42ND AVE |
City | ALLENDALE |
State | MI |
Zip Code | 49401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336276864 | Mary B O'brien | Nurse Practitioner | 10383 42nd Ave, Allendale, MI 49401-8207 | 2007-02-28 |
1649821786 | Rocio Esmeralda Sanchez | Nurse Practitioner | 10383 42nd Ave, Allendale, MI 49401-8207 | 2019-09-20 |
1831751650 | Kaitlin Elizabeth Teichman | Nurse Practitioner | 10383 42nd Ave, Allendale, MI 49401-8207 | 2019-07-01 |
1619223567 | Heather Michelle Veronie | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401-8207 | 2012-07-30 |
1366724668 | Kara K Noseda | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401-8207 | 2011-09-13 |
1932368693 | Emily Kristine Gerardy | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401-8207 | 2008-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
1043697923 | Courtney Anne Nestor | Physical Medicine & Rehabilitation | 1 Campus Dr, Allendale, MI 49401 | 2015-04-30 |
Find all providers in zip 49401 |
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 |
---|---|---|---|---|
1619223567 | Heather Michelle Veronie | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401-8207 | 2012-07-30 |
1124255963 | Elizabeth K Fey | Physician Assistant | 11160 Wj Presley Pkwy, Allendale, MI 49401-8074 | 2009-06-19 |
1093861593 | Carl E Piersma | Physician Assistant | 11315 Edgewater Dr, Allendale, MI 49401-9396 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
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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.