NIKOLE L. MADDES (NPI# 1811254634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811254634 |
| Entity Type | Individual |
| Full Name | NIKOLE L. MADDES |
| Credential | PA |
| Practice Address |
17717 Masonic Fraser MI 48026-3158 |
| Practice Telephone | 5862940600 |
| Practice Fax Number | 5862942525 |
| Mailing Telephone | 5862940600 |
| Mailing Fax Number | 5862942525 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17717 MASONIC |
| City | FRASER |
| State | MI |
| Zip Code | 48026-3158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614333 | Ross Heller | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2005-07-28 |
| 1952792376 | Chelsea House | Nurse Practitioner | 17717 Masonic, Fraser, MI 48026-3158 | 2015-02-06 |
| 1548695398 | Kendall Hassig | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-09-12 |
| 1346674355 | Lauren Asmer | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-08-27 |
| 1497099667 | Kathleen Phillips | Nurse Practitioner | 17717 Masonic, Fraser, MI 48026-3158 | 2012-11-12 |
| 1902157472 | Alyssa Caramagno | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-09-25 |
| 1295082097 | Brittnay L Thurston | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-08-10 |
| 1760746978 | Lindsay Goodell | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2012-07-02 |
| 1073896346 | Simon Katrib | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2011-09-23 |
| 1578845459 | Rhett Brandenburg | Emergency Medicine | 17717 Masonic, Fraser, MI 48026-3158 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1215406624 | Fraser Rx Pharmacy LLC | Pharmacy | 16861 E 14 Mile Rd., Fraser, MI 48026 | 2018-11-14 |
| 1457507519 | Michael Richard Abood | Dentist | 16128 15 Mile, Suite 4, Fraser, MI 48026 | 2008-08-08 |
| 1316095342 | Martha Sue Vaneenenaam-iwanicki | Specialist/Technologist | Fraser High School, 34270 Garfield, Fraser, MI 48026 | 2007-01-08 |
| 1962578674 | David Henry Luehmann | Dentist | 32245 Utica Rd, Fraser, MI 48026 | 2006-11-27 |
| 1447326244 | Fraser Optical Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 32925 Groesbeck Highway, Fraser, MI 48026 | 2006-11-27 |
| 1699849885 | Luis Collazo | Family Medicine | 31022 Utica Rd., Fraser, MI 48026 | 2006-11-20 |
| 1780753467 | Leigh Ellen Snyder | Dentist | 16869 Fourteen Mile Rd, Fraser, MI 48026 | 2006-11-07 |
| 1942379631 | Bernadette Olameitan Osowa | Dentist | 16869 Fourteen Mile Road, Fraser, MI 48026 | 2006-11-07 |
| 1104920446 | Select Dental PC | Dentist | 16128 15 Mile Road, Suite 4, Fraser, MI 48026 | 2006-09-08 |
| Find all providers in zip 48026 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932545605 | Tania Elia | Physician Assistant | 17717 Masonic Blvd., Fraser, MI 48026-3158 | 2013-05-21 |
| 1952949117 | Trevor Dennis | Physician Assistant | 31290 Groesbeck Hwy, Fraser, MI 48026-2517 | 2019-12-18 |
| 1548695398 | Kendall Hassig | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-09-12 |
| 1346674355 | Lauren Asmer | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2013-08-27 |
| 1902157472 | Alyssa Caramagno | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-09-25 |
| 1295082097 | Brittnay L Thurston | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2012-08-10 |
| 1184902827 | Sara K. Klick | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2011-07-29 |
| 1861784605 | Brittany Zito Bondar | Physician Assistant | 17717 Masonic, Fraser, MI 48026 | 2011-05-12 |
| 1558681114 | James G Cawthorne | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2010-06-07 |
| 1700119658 | Abigail Ignagni | Physician Assistant | 17717 Masonic, Fraser, MI 48026-3158 | 2009-09-10 |
| Find all providers in FRASER | ||||
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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.