TODD P STACHOWIAK (NPI# 1831166768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831166768 |
| Entity Type | Individual |
| Full Name | TODD P STACHOWIAK |
| Credential | PA-C |
| Practice Address |
3350 Gratiot Blvd Marysville MI 48040-2121 |
| Practice Telephone | 8103644000 |
| Practice Fax Number | 8103645995 |
| Mailing Telephone | 8103644000 |
| Mailing Fax Number | 8103645995 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003463 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1831166768 | 05 |
| Street Address |
3350 GRATIOT BLVD |
| City | MARYSVILLE |
| State | MI |
| Zip Code | 48040-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871569798 | Pietro A Cavataio | Family Medicine | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2006-02-28 |
| 1215432927 | Melissa Shimshock | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2018-03-26 |
| 1972021319 | Kelly Wright | Physician Assistant | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2017-09-06 |
| 1508398405 | Patricia Kindsvater | Family Medicine | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2017-03-30 |
| 1760871933 | Catherine Rae Vance | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2015-01-12 |
| 1568872695 | Naila Christine Russell | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2014-04-28 |
| 1326474248 | Jessica Ann Onufrak | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2013-09-24 |
| 1114235413 | Scott B Mccormick | Physician Assistant | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2010-09-21 |
| 1972758969 | John Edward Brady | Specialist/Technologist | 3350 Gratiot Blvd, Suite E, Marysville, MI 48040-2121 | 2008-11-18 |
| 1710154521 | Marianne Dolores Mckissick | Physician Assistant | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902106032 | Sheila Washington | Technician | 1600 Gratiot, Marysville, MI 48040 | 2010-10-22 |
| 1861522666 | Kriste Charlene Hollenbaugh | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-07 |
| 1083760169 | Patrick August Deview | Optometrist | 3160 Gratiot, Marysville, MI 48040 | 2007-01-25 |
| 1346305133 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 205 S Range Rd, Marysville, MI 48040 | 2006-12-22 |
| 1225143514 | City of Marysville | Ambulance | 1355 Delaware Avenue, Marysville, MI 48040 | 2006-08-20 |
| 1033603063 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 205 S Range Rd, Marysville, MI 48040 | 2018-06-22 |
| 1154449635 | Brenda Carolyn Hayden | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-26 |
| 1235696956 | Lisa Curtis | Licensed Practical Nurse | 35 Carolina, Marysville, MI 48040-1011 | 2019-02-28 |
| 1447268529 | Karlene S. Harbour | Social Worker | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-08-04 |
| 1316020688 | Ks Harbour Consulting | Community/Behavioral Health | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-10-23 |
| Find all providers in zip 48040 | ||||
| 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 |
|---|---|---|---|---|
| 1346870128 | Margaret A Macdonald | Physician Assistant | 140 Colemans Xing # 100, Marysville, OH 43040-7080 | 2020-01-22 |
| 1730747981 | Claire Blumer | Physician Assistant | 801 Alston St, Marysville, KS 66508-1542 | 2019-06-03 |
| 1730551722 | Rikki Pautz | Physician Assistant | 1600 Gratiot Blvd Ste 9, Marysville, MI 48040-1145 | 2015-10-29 |
| 1437437274 | Nishi Dhanota | Physician Assistant | 201 D St Ste G, Marysville, CA 95901-5957 | 2011-07-27 |
| 1235157967 | Peach Tree Healthcare | Physician Assistant | 724 5th St, Marysville, CA 95901-5646 | 2006-07-18 |
| 1629028485 | Angela Nicole Dare | Physician Assistant | 388 Damascus Rd Ste A, Marysville, OH 43040-5535 | 2006-05-11 |
| 1467074161 | Megan Culberson | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2020-05-15 |
| 1851923775 | Adrianna Deam | Physician Assistant | 500 London Ave, Marysville, OH 43040-5512 | 2020-02-08 |
| 1104483783 | Blake Beck | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2019-05-20 |
| 1891264107 | Carl Townsend Glissmeyer | Physician Assistant | 3955 156th St Ne, Marysville, WA 98271-4831 | 2018-11-15 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 48040 |
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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.