HEATHER SPOHN BARON (NPI# 1811940729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811940729 |
| Entity Type | Individual |
| Full Name | HEATHER SPOHN BARON |
| Credential | PAC |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Mailing Address |
14760 31 Mile Rd Washington Township MI 48095-1503 |
| Practice Telephone | 8006536868 |
| Mailing Telephone | 2487228298 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004284 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCCPA CERTIFICATE NUMBER | 1062339 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6071 W Outer Dr, Detroit, MI 482352624 | 3139663300 | 8107658169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450034 | Heather Baron | Social Worker | 295 E Swedesford Rd # 173, Wayne, PA 19087-1462 | 2015-10-26 |
| 1033446240 | Heather Baron | Speech-Language Pathologist | 21 Sands Ln, Port Jefferson, NY 11777-1112 | 2009-11-09 |
| 1790041739 | Heather Baron | Speech-Language Pathologist | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-04-04 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1619583994 | Isabella Lapuz Dela Cruz | Physician Assistant | 18463 Livernois Ave, Detroit, MI 48221-2254 | 2020-09-22 |
| 1932750684 | Patrick D Wharton | Physician Assistant | 5053 Commonwealth St # 1s, Detroit, MI 48208-2039 | 2019-09-24 |
| 1942869300 | Laura Dorothy Konsitzke | Physician Assistant | 22201 Moross Rd Ste 380, Detroit, MI 48236-2176 | 2019-06-10 |
| 1619419553 | Erica Ellen Schweitzer | Physician Assistant | 4701 Saint Antoine St Ste E-510, Detroit, MI 48201-1428 | 2016-11-09 |
| 1992167027 | Heather Michelle Sutton | Physician Assistant | 3901 Beaubien Drive, Detroit, MI 48201 | 2016-03-28 |
| 1659769107 | Zhi Li | Physician Assistant | 22201 Moross Rd Ste 370, Detroit, MI 48236 | 2015-01-07 |
| 1619371564 | Charlene Sharon Staff | Physician Assistant | 17701 Warwick St, Detroit, MI 48219-4210 | 2014-10-21 |
| 1245646025 | Sara Gibrael | Physician Assistant | 259 Mack Ave # 2590, Detroit, MI 48201-2427 | 2014-07-01 |
| 1497076434 | Mary Beth Morse | Physician Assistant | 4201 St. Antoine - Uhc 5d #226, University Pediatricians, Detroit, MI 48201-2153 | 2010-06-14 |
| 1265550487 | Claudine Lilla | Physician Assistant | 6071 W Outer Dr Dept Of, Detroit, MI 48235-2624 | 2007-03-26 |
| Find all providers in DETROIT | ||||
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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.