HANNAH JO BADER


Address: 10383 42nd Ave, Allendale, MI 49401
Phone: 6162526030

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601008059 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1750826343 05

Provider Secondary Practice Location

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

Office Location

Street Address 10383 42ND AVE
City ALLENDALE
State MI
Zip Code 49401

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City ALLENDALE
Zip Code 49401

Improve Information

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Dataset Information

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.

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