JULIA R KOESTNER (NPI# 1760460562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760460562 |
| Entity Type | Individual |
| Full Name | JULIA R KOESTNER |
| Credential | NP |
| Practice Address |
451 Health Pkwy Suite D Paw Paw MI 49079-8242 |
| Mailing Address |
451 Health Partkway Suite D Paw Paw MI 49079 |
| Practice Telephone | 2696553070 |
| Practice Fax Number | 2696550767 |
| Mailing Telephone | 2696553070 |
| Mailing Fax Number | 2696550767 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2014-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
4704145804 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
451 HEALTH PKWY SUITE D |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115183 | Pamela Nelson | Family Medicine | 451 Health Pkwy, Suite B, Paw Paw, MI 49079-8242 | 2005-06-23 |
| 1972132256 | Jean Marie Brosnan | Registered Nurse | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2020-04-07 |
| 1114570801 | Kinju Dudhia | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-07-22 |
| 1235781345 | Marlesa Maria Johnson | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-07-10 |
| 1447802459 | Miranda Novak | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-07-10 |
| 1336709500 | Daniel E Laird | Physical Therapist | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2019-06-19 |
| 1932625043 | Debra Lynn Koning | Social Worker | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2017-08-21 |
| 1720439979 | Kimberly Baker | Social Worker | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2016-06-29 |
| 1467858118 | Sara Bailey | Nurse Practitioner | 451 Health Pkwy, Suite A, Paw Paw, MI 49079-8242 | 2014-11-07 |
| 1053729269 | Todd Super | Pharmacist | 451 Health Pkwy, Paw Paw, MI 49079 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255607032 | Maureen M Westfall | Nurse Practitioner | 4200 Whitehall Dr Ste 330, Ann Arbor, MI 48105-9694 | 2012-03-27 |
| 1306121660 | Julie Sokolow | Nurse Practitioner | 317 S Drake Rd Ste B, Kalamazoo, MI 49009-1171 | 2011-10-19 |
| 1073835302 | Leah Foucart | Nurse Practitioner | 6920 Tamarack Ln, Holly, MI 48442-9157 | 2010-03-01 |
| 1265547749 | Karen J Pociluyko | Nurse Practitioner | 205 N Hintz Rd, Owosso, MI 48867-9019 | 2006-08-21 |
| 1790765139 | Kyoung Kelly Lee | Nurse Practitioner | 3300 West Centre Ave, Bronson Ob/gyn Associates, Portage, MI 49024 | 2006-01-20 |
| 1063924926 | Jennifer Ann Soper | Nurse Practitioner | 3300 W Centre Ave, Portage, MI 49024-4666 | 2017-11-01 |
| 1790206019 | Christy Lynn Klieman | Nurse Practitioner | 1701 South Boulevard, East, Suite 200, Rochester Hills, MI 48307 | 2017-06-28 |
| 1942613252 | Lorrie Lorraine Youngs | Nurse Practitioner | 2012 E Preston St, Mt Pleasant, MI 48858-8990 | 2014-06-04 |
| 1861814220 | Jeanna Mastracci | Nurse Practitioner | 44344 Dequindre Rd, Sterling Heights, MI 48314-1038 | 2014-01-19 |
| 1639517758 | Sarah Sharp | Nurse Practitioner | 8333 Felch St Ste 202, Zeeland, MI 49464-2609 | 2013-06-11 |
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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.