LEILA AKHAVAN SHAHR ASHOUB (NPI# 1821417924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821417924 |
| Entity Type | Individual |
| Full Name | LEILA AKHAVAN SHAHR ASHOUB |
| Credential | MS, PA-C |
| Practice Address |
14523 Northline Road Southgate MI 48195 |
| Mailing Address |
2621 Hidden Woods Dr Canton MI 48188-2477 |
| Practice Telephone | 7343247800 |
| Mailing Telephone | 3157443132 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2015-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006967 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14523 NORTHLINE ROAD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| 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 |
|---|---|---|---|---|
| 1952968836 | Kristen Marie Conner | Physician Assistant | 15450 Northline Rd, Southgate, MI 48195-2398 | 2019-05-25 |
| 1174189153 | Rebecca Jo Scott | Physician Assistant | 525 Alexandria Pike Ste 320, Southgate, KY 41071-3243 | 2019-05-14 |
| 1487002218 | Fatimeh Abdallah | Physician Assistant | 13636 Dix Toledo Rd, Southgate, MI 48195-2432 | 2016-06-02 |
| 1871958744 | Saba Madhoun | Physician Assistant | 15150 Fort St, Southgate, MI 48195-1302 | 2015-12-21 |
| 1194147538 | Chelsea Ellis | Physician Assistant | 12100 Dix Toledo Rd, Southgate, MI 48195-3531 | 2014-01-18 |
| 1275883225 | Kristen Zimmer | Physician Assistant | 13636 Dix Toledo Rd, Southgate, MI 48195-2432 | 2012-09-18 |
| 1245586320 | Christina C Niemer | Physician Assistant | 525 Alexandria Pike Ste 320, Southgate, KY 41071-3243 | 2012-07-26 |
| 1588976013 | Amanda Dyan Zilka | Physician Assistant | 15450 Northline Rd, Ste 101, Southgate, MI 48195-2398 | 2010-07-13 |
| 1386976637 | Kimberly D Keller | Physician Assistant | 12100 Dix Toledo Rd, Southgate, MI 48195-3531 | 2010-02-10 |
| 1982939732 | Kelli Lynn Frost | Physician Assistant | 15750 Northline Rd, Southgate, MI 48195-2378 | 2009-10-13 |
| Find all providers in SOUTHGATE | ||||
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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.