ALYSSA ZANTELLO (NPI# 1780032524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780032524 |
Entity Type | Individual |
Full Name | ALYSSA ZANTELLO |
Practice Address |
2305 Genoa Business Park Dr Suite 170 Brighton MI 48114-7004 |
Practice Telephone | 8102998550 |
Practice Fax Number | 8108440837 |
Mailing Telephone | 8102998550 |
Mailing Fax Number | 8108440837 |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601007768 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2305 GENOA BUSINESS PARK DR SUITE 170 |
City | BRIGHTON |
State | MI |
Zip Code | 48114-7004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649273947 | Ayad A. Farjo | Ophthalmology | 2305 Genoa Business Park Dr, Suite 250, Brighton, MI 48114-7004 | 2005-05-31 |
1548702087 | Darlene Demeniuk | Occupational Therapist | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2016-11-15 |
1467873828 | Iha Health Services Corporation | Obstetrics & Gynecology | 2305 Genoa Business Park Dr, Suite 230, Brighton, MI 48114-7004 | 2014-01-02 |
1487091377 | Julie Tenckinck Sauer | Occupational Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2013-05-31 |
1710225412 | Kristen Elizabeth Upton | Nurse Practitioner | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2013-01-30 |
1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
1558611046 | Juliana Hagele | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2012-09-12 |
1558624858 | Tracy M Olsen | Nurse Practitioner | 2305 Genoa Business Park Dr, Ste 200, Brighton, MI 48114-7004 | 2012-06-21 |
1053625467 | Advanced Orthopedic Specialists PC | Non-Pharmacy Dispensing Site | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2010-07-28 |
1093028540 | Nicole Marie Clement | Physical Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2010-07-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
Find all providers in zip 48114 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326596396 | Constantina Kostka | Physician Assistant | 1560 Commonwealth Ave, Apt. #16, Brighton, MA 02135-5038 | 2016-09-19 |
1689919318 | Alexis Grant Kochevar | Physician Assistant | 70 S 20th Ave Ste H, Brighton, CO 80601-3704 | 2012-12-06 |
1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
1154804847 | Rebecca Lynn Kahn | Physician Assistant | 8273 Grand River Rd Ste 210, Brighton, MI 48114-9346 | 2018-09-10 |
1831695634 | Amanda Dvorak | Physician Assistant | 2801 Purcell St, Brighton, CO 80601 | 2018-04-02 |
1942759998 | Stephen Norris Pope-rolewski | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2016-09-30 |
1689070963 | Shawna Karman | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2014-11-13 |
1013324367 | Lane Marie Bryant | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-07-18 |
1083902811 | Lindsay C. Stanley | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2011-07-14 |
1326349655 | Eva Marie Michals | Physician Assistant | 7960 Grand River Rd, Suite 160, Brighton, MI 48114-7330 | 2010-11-03 |
Find all providers in BRIGHTON |
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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.