JAMES L. WERTHEIMER (NPI# 1891885281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891885281 |
| Entity Type | Individual |
| Full Name | JAMES L. WERTHEIMER |
| Credential | PA |
| Practice Address |
930 Blue Star Hwy South Haven MI 49090-7758 |
| Practice Telephone | 2696371115 |
| Practice Fax Number | 2696391314 |
| Mailing Telephone | 2696371115 |
| Mailing Fax Number | 2696391314 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006282 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1124 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
930 BLUE STAR HWY |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090-7758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659312809 | Kathy Watt | Psychologist | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2006-06-09 |
| 1871104034 | Bronson South Haven Hospital | Family Medicine | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2020-08-12 |
| 1780203125 | Linda M Krzemen | Registered Nurse | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2020-04-15 |
| 1356888986 | Holland Foot and Ankle Center, PC | Podiatrist | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2017-01-20 |
| 1013321983 | Conor Mullin | Family Medicine | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2014-06-18 |
| 1508140229 | Patricia M Mccarthy | Nurse Practitioner | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2011-09-29 |
| 1811195712 | Ryan Stephen Klanseck | Family Medicine | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2007-07-03 |
| 1619069606 | Ruth A. Mcdowell | Physician Assistant | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2006-09-28 |
| 1699887125 | Susan Patricia Heinrich | Family Medicine | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2006-08-31 |
| 1952413403 | South Haven Family Physicians, P.C. | Family Medicine | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1639264062 | Deborah Sue Distefano | Pharmacy Technician | 512 Phoenix Street, South Haven, MI 49090 | 2006-10-03 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| Find all providers in zip 49090 | ||||
| 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 |
|---|---|---|---|---|
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1952742603 | Andrew Josiah Rife | Physician Assistant | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2013-07-10 |
| 1013225549 | Evan Ashley Gillo | Physician Assistant | 955 S Bailey Ave, South Haven, MI 49090-9701 | 2010-09-17 |
| 1164457669 | Anne Slachta | Physician Assistant | 965 S Bailey Ave, Suite 2-1, South Haven, MI 49090-9701 | 2006-07-12 |
| 1336120427 | Brice J Miller | Physician Assistant | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
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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.