SUNDOS FADEL (NPI# 1841740289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841740289 |
Entity Type | Individual |
Full Name | SUNDOS FADEL |
Practice Address |
215 E Mansion St Marshall MI 49068-1559 |
Practice Telephone | 2697898272 |
Practice Fax Number | 2697898273 |
Mailing Telephone | 2697898272 |
Mailing Fax Number | 2697898273 |
Enumeration Date | 2016-10-10 |
Last Update Date | 2017-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601007985 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
215 E MANSION ST |
City | MARSHALL |
State | MI |
Zip Code | 49068-1559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609856046 | Suzanne E Vandenbrink-webb | Obstetrics & Gynecology | 215 E Mansion St, Suite 3d, Marshall, MI 49068-1559 | 2006-01-20 |
1346624921 | Karissa Hawley | Advanced Practice Midwife | 215 E Mansion St, Suite 3d, Marshall, MI 49068-1559 | 2015-07-14 |
1801297940 | Michael Thompson | Audiologist | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1559 | 2014-09-09 |
1598102824 | Desiree Cook | Physician Assistant | 215 E Mansion St, Suite 1g, Marshall, MI 49068-1559 | 2013-05-28 |
1164733887 | Catherine A Burtrum | Surgery | 215 E Mansion St, Suite 3e, Marshall, MI 49068-1559 | 2010-06-28 |
1952537912 | South Central Ear Nose and Throat Associates PC | Otolaryngology | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1559 | 2009-06-04 |
1770770216 | Subhash Thakur | Surgery | 215 E Mansion St, Suite 2f, Marshall, MI 49068-1559 | 2007-09-28 |
1396931937 | Vincent Shen Md Plc | Internal Medicine | 215 E Mansion St, Suite 2e, Marshall, MI 49068-1559 | 2007-09-18 |
1356479810 | Jonathan Michael Ross | Internal Medicine | 215 E Mansion St, Suite 3a, Marshall, MI 49068-1559 | 2007-02-28 |
1881751261 | Vincent Shen | Internal Medicine | 215 E Mansion St, Suite 2b, Marshall, MI 49068-1559 | 2007-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
Find all providers in zip 49068 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326272840 | Healing Hands Home Physician Services | Physician Assistant | 309 W Michigan Ave, Marshall, MI 49068-1524 | 2009-05-12 |
1669427357 | Lina Keeney-fuhr | Physician Assistant | 1174 W Michigan Ave, Marshall, MI 49068-1497 | 2006-05-23 |
1831181874 | Richard Albert Goodrich | Physician Assistant | 401 S Bolivar St, Marshall, TX 75670-4109 | 2005-08-16 |
1316583461 | Eli Noah Jackson | Physician Assistant | 942 Highway 65 N, Marshall, AR 72650-7772 | 2019-11-25 |
1902237936 | Shane L Kelehan | Physician Assistant | 300 N Alamo Blvd, Marshall, TX 75670-3451 | 2013-12-02 |
1003861378 | Edward Liscombe | Physician Assistant | 1174 W Michigan Ave, Marshall, MI 49068-1497 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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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.