MRS. DAWN YORTON (NPI# 1871987958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871987958 |
Entity Type | Individual |
Full Name | MRS. DAWN YORTON |
Credential | C-PED, ATC |
Practice Address |
5147 E Paris Ave Se Suite 21 Kentwood MI 49512-5457 |
Mailing Address |
10532 Little Fawn Ct Lakeview MI 48850-9326 |
Practice Telephone | 6163565030 |
Practice Fax Number | 6166565442 |
Mailing Telephone | 6164982687 |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
3640200 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
5147 E PARIS AVE SE SUITE 21 |
City | KENTWOOD |
State | MI |
Zip Code | 49512-5457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
Find all providers in zip 49512 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578867024 | Tammy Marie Neely | Pedorthist | 308 S Warren St, Pinconning, MI 48650-9428 | 2010-12-26 |
1326524745 | Mary Free Bed Orthotics and Prosthetics | Pedorthist | 1219 E Saginaw St, Lansing, MI 48906-5523 | 2018-07-18 |
1447665682 | James Nicholas Brozovich | Pedorthist | 4646 John R St, Detroit, MI 48201-1916 | 2014-06-26 |
1609149616 | Daniel Waite | Pedorthist | 5152 Morrish Rd, Apt 60, Swartz Creek, MI 48473-1379 | 2012-02-22 |
1720384472 | Cobbler's Corner Foot Center | Pedorthist | 1864 E Us 23, Suite B2, East Tawas, MI 48730-9349 | 2011-01-28 |
1417252800 | Ryan R Howser | Pedorthist | 1864 E Us 23, Suite B2, East Tawas, MI 48730-9349 | 2011-01-17 |
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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.