MS. CHARLENE BAILEY (NPI# 1801975420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801975420 |
| Entity Type | Individual |
| Full Name | MS. CHARLENE BAILEY |
| Credential | P.A. C. |
| Practice Address |
15501 Metropolitan Pkwy Ste110 Clinton Twp MI 48036-1684 |
| Practice Telephone | 5862869720 |
| Practice Fax Number | 5862863134 |
| Mailing Telephone | 5862869720 |
| Mailing Fax Number | 5862863134 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2009-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002587 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 550140 | 01 |
| Street Address |
15501 METROPOLITAN PKWY STE110 |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48036-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700827813 | Robert H Amsler | Specialist | 15501 Metropolitan Pkwy, Ste 110, Clinton Twp, MI 48036-1684 | 2006-06-09 |
| 1922337815 | Mary E. Nasir | Physical Therapy Assistant | 15501 Metropolitan Pkwy, Suite 102, Clinton Twp, MI 48036-1684 | 2009-12-23 |
| 1770733867 | Michael Arthur Merz | Psychologist | 15501 Metropolitan Pkwy, Suite107, Clinton Twp, MI 48036-1684 | 2008-09-24 |
| 1801084629 | Keith C Mckenzie Md Pllc | Family Medicine | 15501 Metropolitan Pkwy, Suite 110, Clinton Twp, MI 48036-1684 | 2007-10-05 |
| 1548347230 | Physical Therapy & Pain Clinic,inc | Specialist | 15501 Metropolitan Pkwy, Suite 102, Clinton Twp, MI 48036-1684 | 2006-11-01 |
| 1861597858 | Claudia Monica Pop | Family Medicine | 15501 Metropolitan Pkwy, Ste 110, Clinton Twp, MI 48036-1684 | 2006-09-14 |
| 1801830757 | Keith Creswell Mckenzie | Family Medicine | 15501 Metropolitan Pkwy, Ste 110, Clinton Twp, MI 48036-1684 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728918 | Joseph John Memminger IIi | Pathology | 23885 Denton St Ste B, Clinton Township, MI 48036 | 2018-01-13 |
| 1124563267 | Melinda Fiends | Social Worker | 42950 Stepnitz, Clinton Township, MI 48036 | 2016-12-28 |
| 1689119729 | The Salvation Army Harbor Light Macomb | Substance Abuse Rehabilitation Facility | 42950 Stepnitz Drive, Clinton Township, MI 48036 | 2016-12-28 |
| 1639573033 | Mycare Health Center | Clinic/Center | 43740 Groesbeck, Clinton Township, MI 48036 | 2014-10-14 |
| 1427368992 | Prestigious Transportation | Non-emergency Medical Transport (VAN) | 22931 N.nunneley Apt. 203, Clinton Township, MI 48036 | 2010-10-18 |
| 1649413436 | Robert B Hengehold | Pharmacist | 37165 Groesbeck Hwy., Clinton Twp., MI 48036 | 2009-04-09 |
| 1548408461 | Rodolfo Sia Yapchai | Internal Medicine | 37900 Saddle Lane, Clinton Twp, MI 48036 | 2009-01-30 |
| 1811135775 | Anthony Frank Balcerzak | Rehabilitation Counselor | 38516 N Gratiot Avenue, Clinton Twp, MI 48036 | 2009-01-30 |
| 1508034661 | Laurie J Church | Counselor | 22800 Hall Rd Ste 240, Clinton Township, MI 48036 | 2008-02-12 |
| 1912128182 | Phyllis Ann Billings-mcneil | Social Worker | 38251 Groesbeck Highway, Clinton Twp, MI 48036 | 2007-05-02 |
| Find all providers in zip 48036 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256837 | Margaret E Gavagan | Physician Assistant | 43800 Garfield Rd, Clinton Twp, MI 48038-1136 | 2005-09-22 |
| 1386113215 | Brandon Bruce Redoute | Physician Assistant | 37150 S Gratiot Ave, Clinton Twp, MI 48036-2702 | 2018-11-21 |
| 1295130995 | Michael Julian | Physician Assistant | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2014-10-24 |
| 1316349236 | Tri-county Neurological Associates | Physician Assistant | 39581 Garfield Rd, Clinton Twp, MI 48038-4300 | 2014-09-23 |
| 1891901278 | Laura Jean Balavitch-gomez | Physician Assistant | 36549 Harper Ave, Suite B, Clinton Twp, MI 48035-2012 | 2007-05-15 |
| 1316979370 | Mary Arens | Physician Assistant | 16151 19 Mile Road, Suite 300, Clinton Twp, MI 48038 | 2006-07-07 |
| 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 | CLINTON TWP |
| Zip Code | 48036 |
Please comment or provide details below to improve the information on MS. CHARLENE BAILEY.
| 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.