MR. CRISTIAN RODRIGUEZ (NPI# 1760760037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760760037 |
Entity Type | Individual |
Full Name | MR. CRISTIAN RODRIGUEZ |
Credential | PA-C |
Practice Address |
2155 Buchanan St Sw Grand Rapids MI 49507 |
Practice Telephone | 6162473638 |
Mailing Telephone | 6162473638 |
Enumeration Date | 2011-08-03 |
Last Update Date | 2011-08-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006045 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972027209 | Cristian Rodriguez Sr. | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2017-07-28 |
1215482948 | Cristian Rodriguez | Counselor | 2444 O St, Lincoln, NE 68510-1125 | 2016-08-23 |
1366495228 | Cristian Rodriguez | Pediatrics | 3450 N Beauregard St, Suite 1, Alexandria, VA 22302-1200 | 2006-05-19 |
Street Address |
2155 BUCHANAN ST SW |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
Find all providers in zip 49507 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740839505 | Rachel Lauren Zokoe | Physician Assistant | 4024 Park East Ct Se Ste C, Grand Rapids, MI 49546-8810 | 2019-09-05 |
1689046187 | Emily Lauren Amato | Physician Assistant | 1310 E Beltline Ave Se Ste 130, Grand Rapids, MI 49506-4303 | 2015-10-22 |
1568864353 | Brittany L Babiak | Physician Assistant | 4362 Cascade Rd Se Ste 206, Grand Rapids, MI 49546-3670 | 2014-09-23 |
1851423750 | Barbara Ann Grinwis | Physician Assistant | 522 Leonard St Nw, Grand Rapids, MI 49504-4258 | 2007-03-09 |
1922170158 | Robin M Iknayan | Physician Assistant | 350 Lafayette Ave Se Fl 4, Grand Rapids, MI 49503-4656 | 2006-11-14 |
1043391154 | Marc Allen Bush | Physician Assistant | 100 Michigan St. Nw, Suite A721, Grand Rapids, MI 49503 | 2006-10-17 |
1437254430 | David Joseph Barney | Physician Assistant | 6690 Crossings Dr Se Ste C, Grand Rapids, MI 49508 | 2006-09-14 |
1144232505 | Robert W Schmitt | Physician Assistant | 3260 Eagle Park Dr Ne Ste 115, Grand Rapids, MI 49525-4569 | 2006-08-13 |
1598775322 | Crystal A Dole | Physician Assistant | 2155 E Paris Ave Se Ste 210, Grand Rapids, MI 49546-6142 | 2006-08-08 |
1508883315 | Barbara Lynn Radawski | Physician Assistant | 3909 Timberwood Dr Sw, Grand Rapids, MI 49534-5004 | 2006-07-16 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49507 |
Please comment or provide details below to improve the information on MR. CRISTIAN RODRIGUEZ.
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.