DANIELLE SUSAN DOUGLASS (NPI# 1811439763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811439763 |
| Entity Type | Individual |
| Full Name | DANIELLE SUSAN DOUGLASS |
| Credential | PA-C |
| Practice Address |
25 Michigan St Ne Suite 6100 Grand Rapids MI 49503-2515 |
| Mailing Address |
100 Michigan St Ne Mc-845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677900 |
| Practice Fax Number | 6162677901 |
| Mailing Telephone | 6162677900 |
| Mailing Fax Number | 6162677901 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922540913 | Danielle Douglass | Physical Therapist | 1 Sheffield Dr, Suite 102, Columbus, NJ 08022-9506 | 2016-11-08 |
| Street Address |
25 MICHIGAN ST NE SUITE 6100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175342 | Stephen Christopher Cook | Pediatrics | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2005-06-27 |
| 1407412539 | Aneta Toma | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2019-05-14 |
| 1033673363 | Kara Vanderkallen | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2019-01-31 |
| 1902391964 | Carmen Kagha | Family Medicine | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-06-22 |
| 1700394301 | Daniel Jacob Elliott | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-01-17 |
| 1629585997 | Dylan Lee Kosaski | Student in an Organized Health Care Education/Training Program | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-01-08 |
| 1073020343 | Rachel Pavona | Pharmacy Technician | 25 Michigan St Ne, Grand Rapids, MI 49503-2515 | 2018-01-08 |
| 1154842193 | Asaf Harris | Internal Medicine | 25 Michigan St Ne, Suite 2100, Grand Rapids, MI 49503-2526 | 2017-06-29 |
| 1457803751 | Anina L Cicerone-carder | Physician Assistant | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2016-11-03 |
| 1427507946 | Stacey Tubergen | Nurse Practitioner | 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093028441 | Lonna Petronella Van Ast | Physician Assistant | 1022 Ada Place Dr Se, Grand Rapids, MI 49546-3786 | 2010-07-14 |
| 1285681536 | Susan G Laham | Physician Assistant | 1425 Michigan St Ne, Suite D, Grand Rapids, MI 49503-2027 | 2006-05-30 |
| 1891768065 | Paul Loh | Physician Assistant | 100 Michigan St Ne, Mc 103, Suite 8830, Grand Rapids, MI 49503-2560 | 2006-02-08 |
| 1366439432 | Michael Lee Bills | Physician Assistant | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2005-10-04 |
| 1285633172 | Adam J Geller | Physician Assistant | 1300 Michigan St Ne Ste 200, Grand Rapids, MI 49503-2029 | 2005-07-21 |
| 1649787128 | Corey John Koll | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-01-05 |
| 1982078515 | Laura E Stevenson | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2015-11-19 |
| 1932570975 | Neurosurgery Health Services Plc | Physician Assistant | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 | 2015-10-16 |
| 1427437177 | Ian Gary Mcbain | Physician Assistant | 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2543 | 2015-05-28 |
| 1326448341 | Laura Haist Bose | Physician Assistant | 100 Michigan St Ne, Suite 8830, Grand Rapids, MI 49503-2560 | 2014-08-27 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on DANIELLE SUSAN DOUGLASS.
| 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.