LAURA JEAN BALAVITCH-GOMEZ (NPI# 1891901278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891901278 |
| Entity Type | Individual |
| Full Name | LAURA JEAN BALAVITCH-GOMEZ |
| Credential | PA |
| Practice Address |
36549 Harper Ave Suite B Clinton Twp MI 48035-2012 |
| Practice Telephone | 5867913150 |
| Practice Fax Number | 5867910409 |
| Mailing Telephone | 5867913150 |
| Mailing Fax Number | 5867910409 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601001632 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36549 HARPER AVE SUITE B |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48035-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013988773 | Albert Anthony Przybylski | Family Medicine | 36549 Harper Ave, Suite B, Clinton Twp, MI 48035-2012 | 2006-01-31 |
| 1487826020 | Albert A. Przybylski, D.o, PC | Family Medicine | 36549 Harper Ave, Suite B, Clinton Twp, MI 48035-2012 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155950 | Convenient Ct PC | Dentist | 35992 S. Gratiot Ave, Clinton Twp, MI 48035 | 2019-07-10 |
| 1962974402 | Care Continuum, LLC | Physical Therapist | 35746 Harper Avenue, Clinton Twp, MI 48035 | 2018-12-21 |
| 1093233884 | Justin Scott Lemanski | Student in an Organized Health Care Education/Training Program | 23162 Talbot, Cinton Twp., MI 48035 | 2017-08-31 |
| 1689035842 | Audionet America Inc | Audiologist | 33830 Harper Ave, Clinton Twp, MI 48035 | 2016-03-16 |
| 1194149054 | Cherian Kochuparampil | Behavioral Analyst | 23195 Elmira, Clinton Township, MI 48035 | 2014-02-13 |
| 1417255688 | Laura Christine Miller | Speech-Language Pathologist | 21173 Suffolk St, Clinton Township, MI 48035 | 2011-03-11 |
| 1780987404 | Cindy Sue Rodammer | Physical Therapy Assistant | 35746 Harper, Clinton Twp, MI 48035 | 2010-12-20 |
| 1427376953 | Heather Kuczynski | Physical Therapy Assistant | 35746 Harper St, Clinton Twp., MI 48035 | 2010-05-07 |
| 1023280542 | Douglas Shore & Sylvia Voelker Ptrs | Psychologist | 34605 Harper Avenue, Clinton Township, MI 48035 | 2008-03-25 |
| 1891964292 | Adam Gregg Feinstein | Neuromusculoskeletal Medicine & OMM | 36397 Harper Ave, Clinton Township, MI 48035 | 2008-02-29 |
| Find all providers in zip 48035 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256837 | Margaret E Gavagan | Physician Assistant | 43800 Garfield Rd, Clinton Twp, MI 48038-1136 | 2005-09-22 |
| 1386113215 | Brandon Bruce Redoute | Physician Assistant | 37150 S Gratiot Ave, Clinton Twp, MI 48036-2702 | 2018-11-21 |
| 1295130995 | Michael Julian | Physician Assistant | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2014-10-24 |
| 1316349236 | Tri-county Neurological Associates | Physician Assistant | 39581 Garfield Rd, Clinton Twp, MI 48038-4300 | 2014-09-23 |
| 1801975420 | Charlene Bailey | Physician Assistant | 15501 Metropolitan Pkwy, Ste110, Clinton Twp, MI 48036-1684 | 2006-11-03 |
| 1316979370 | Mary Arens | Physician Assistant | 16151 19 Mile Road, Suite 300, Clinton Twp, MI 48038 | 2006-07-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| Zip Code | 48035 |
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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.