PRECISION SURGICAL ASSOCIATES PC (NPI# 1912382094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912382094 |
| Entity Type | Organization |
| Organization Name | PRECISION SURGICAL ASSOCIATES PC |
| Practice Address |
4800 S Saginaw St Flint MI 48507-2677 |
| Mailing Address |
4800 S Saninaw Street Suite 1800 Flint MI 48507 |
| Practice Telephone | 8107328336 |
| Practice Fax Number | 8887706360 |
| Mailing Telephone | 8107328336 |
| Mailing Fax Number | 8887706360 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | ATIF BAWAHAB (ADMIN) |
| Authorized Official Telephone | 9795747109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704257057 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4800 S SAGINAW ST |
| City | FLINT |
| State | MI |
| Zip Code | 48507-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427020452 | Jawad A. Shah | Specialist | 4800 S Saginaw St, Ste1800, Flint, MI 48507-2669 | 2006-02-03 |
| 1033741533 | Stephanie Olson | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2020-02-12 |
| 1467082529 | Julie Widzinski | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2020-01-17 |
| 1245892363 | Noelle Renee Epps | Specialist/Technologist | 4800 S Saginaw St, Flint, MI 48507-2677 | 2019-06-29 |
| 1164082285 | Kelly Hopper | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2019-06-20 |
| 1871157057 | Jawad A Shah Md PC | Registered Nurse | 4800 S Saginaw St, Flint, MI 48507-2677 | 2019-04-23 |
| 1245767243 | Jawad A Shah Md PC | Clinical Medical Laboratory | 4800 S Saginaw St, Flint, MI 48507-2677 | 2017-05-22 |
| 1437680808 | Sally Rashmawi | Massage Therapist | 4800 S Saginaw St, Flint, MI 48507-2677 | 2017-03-27 |
| 1811437098 | Janell Klosterman | Physical Therapist | 4800 S Saginaw St, Suite 1625, Flint, MI 48507-2677 | 2017-03-07 |
| 1942746979 | Rachel Sullivant | Chiropractor | 4800 S Saginaw St, Flint, MI 48507-2677 | 2017-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
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| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962064220 | Janet Sue Burkhardt | Nurse Practitioner | G1071 N Ballenger Hwy Ste 310, Flint, MI 48504-4453 | 2019-07-07 |
| 1033741533 | Stephanie Olson | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2020-02-12 |
| 1164082285 | Kelly Hopper | Nurse Practitioner | 4800 S Saginaw St, Flint, MI 48507-2677 | 2019-06-20 |
| 1659850162 | Angela Marie Hanna | Nurse Practitioner | 4100 Beecher Rd, Flint, MI 48532-3661 | 2018-08-07 |
| 1629592613 | Jennifer L Webster | Nurse Practitioner | 401 S Ballenger Hwy, Flint, MI 48532-3638 | 2017-08-01 |
| 1659801058 | Monica Culver | Nurse Practitioner | 5202 Miller Rd, Flint, MI 48507-1040 | 2017-06-18 |
| 1861856858 | Yi-wen Huang | Nurse Practitioner | 4800 S Saginaw St, Suite 1800, Flint, MI 48507-2677 | 2016-04-06 |
| 1154797579 | Joe Danko | Nurse Practitioner | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2015-08-19 |
| 1093074940 | Allison J Piatt | Nurse Practitioner | 4800 S Saginaw St, Suite 1800, Flint, MI 48507-2677 | 2012-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759396 | Zainab Ali Hachem | Nurse Practitioner | 5158 Neckel St, Dearborn, MI 48126-3217 | 2020-10-29 |
| 1861092900 | Lindsay Overall | Nurse Practitioner | 1962 Sherlynn Dr, Brighton, MI 48114-7618 | 2020-10-28 |
| 1588289144 | Anne Elizabeth Stephan | Nurse Practitioner | 1320 Addington Ln, Ann Arbor, MI 48108-8951 | 2020-06-10 |
| 1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
| 1023637766 | Jbnp Services, LLC | Nurse Practitioner | 19520 Parker St, Livonia, MI 48152-1579 | 2020-04-13 |
| 1912536137 | Mary Bailey | Nurse Practitioner | 8254 Twin Creek Cir, Temperance, MI 48182-8202 | 2020-04-08 |
| 1679108500 | Jennifer Ann Rutzen | Nurse Practitioner | 5802 Montebello Ave, Haslett, MI 48840-8208 | 2020-03-11 |
| 1871126813 | Gregory M Ali | Nurse Practitioner | 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 | 2020-02-18 |
| 1730712969 | Anthony Joseph Jurecic | Nurse Practitioner | 2382 Us 41 W, Marquette, MI 49855-2456 | 2020-02-17 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
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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.