BARRY M NATHAN (NPI# 1780627737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780627737 |
| Entity Type | Individual |
| Full Name | BARRY M NATHAN |
| Credential | MD |
| Practice Address |
5301 Mcauley Dr Ypsilanti MI 48197-1051 |
| Mailing Address |
2000 Green Rd Suite 300 Ann Arbor MI 48105-1598 |
| Practice Telephone | 7347123456 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
051323 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BC/BS | BN051323 | 01 |
| MI | 4423856 | 05 |
| Street Address |
5301 MCAULEY DR |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066535 | Marla C Mikelait | Pediatrics | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2005-10-13 |
| 1790301638 | Amy Nicole Wiechec | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-06-16 |
| 1982228151 | Lauren Patricia Williams | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-06-03 |
| 1225659196 | Hannah Rose Miller | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-05-02 |
| 1841811825 | Mercedes Bakian | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2020-05-01 |
| 1073152617 | Kayla Lynne Prasch | Nurse Practitioner | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-30 |
| 1174162150 | Najwan Raban | Nurse Anesthetist, Certified Registered | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-23 |
| 1528606589 | Marissa Stromberg | Nurse Anesthetist, Certified Registered | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-12-20 |
| 1861037251 | Suzanne Rado Carlisle | Registered Nurse | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-11-09 |
| 1922654821 | Janelle Jean Davis | Physician Assistant | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144208356 | Monique Reeves | Emergency Medicine | 555 Towner St, Ypsilanti, MI 48198-5752 | 2006-01-06 |
| 1497782098 | Greg A Hodder | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-27 |
| 1952338261 | John P Erpelding | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-26 |
| 1255375960 | Sara Barnes | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-15 |
| 1538102793 | Michael G Mikhail | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-14 |
| 1851334924 | Robert F Mccurdy | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-14 |
| 1710920939 | Marc A Olson | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-14 |
| 1851334080 | Christopher Newton | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-14 |
| 1699718361 | James D Mattimore | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-13 |
| 1639110380 | David A Renken | Emergency Medicine | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-06-10 |
| Find all providers in YPSILANTI | ||||
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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.