KRISTINE ANN TUCHEK (NPI# 1770750101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770750101 |
Entity Type | Individual |
Full Name | KRISTINE ANN TUCHEK |
Credential | P.A. -C |
Practice Address |
1005 S Us Highway 27 Suite 200 Saint Johns MI 48879-2423 |
Mailing Address |
1005 S Us Highway 27 Suite 100 Saint Johns MI 48879-2423 |
Practice Telephone | 9892246897 |
Practice Fax Number | 9892246898 |
Mailing Telephone | 9892243000 |
Mailing Fax Number | 9892241424 |
Enumeration Date | 2008-05-14 |
Last Update Date | 2016-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003405 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | STATE LICENSE | 5601003405 | 01 |
TRAVELERS MEDICARE | 0C36097 | 01 |
Street Address |
1005 S US HIGHWAY 27 SUITE 200 |
City | SAINT JOHNS |
State | MI |
Zip Code | 48879-2423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639115165 | Maria A Thelen | Physician Assistant | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2006-06-22 |
1912352915 | Erin M Griffith | Nurse Practitioner | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2016-04-27 |
1275991937 | Justin Allen Morris | Physician Assistant | 1005 S Us Highway 27, Saint Johns, MI 48879-2423 | 2016-02-09 |
1588914691 | Bryanna Ruth Weber | Dietitian, Registered | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2012-09-17 |
1548552516 | Taylor Thelen | Family Medicine | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2011-05-10 |
1598908261 | Lois M Rodgers | Physical Therapist | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2009-04-10 |
1073543666 | Andrew W Messenger | Family Medicine | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2006-07-03 |
1902835309 | Lars P Andersen Jr. | Family Medicine | 1005 S Us Highway 27, Suite 100, Saint Johns, MI 48879-2423 | 2006-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
Find all providers in zip 48879 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003186115 | Melina Volner Sommese | Physician Assistant | 147 S Arabella Way, Saint Johns, FL 32259-8018 | 2012-01-05 |
1275991937 | Justin Allen Morris | Physician Assistant | 1005 S Us Highway 27, Saint Johns, MI 48879-2423 | 2016-02-09 |
1750718417 | Betsy Ann Levand | Physician Assistant | 1055 S Us Highway 27, Saint Johns, MI 48879-2437 | 2013-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
Find all providers with the same taxonomy |
City | SAINT JOHNS |
Zip Code | 48879 |
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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.