ANNA KILLEEN (NPI# 1922283993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922283993 |
| Entity Type | Individual |
| Full Name | ANNA KILLEEN |
| Credential | PA-C |
| Practice Address |
588 E Lakewood Blvd 2nd Floor Holland MI 49424-2023 |
| Mailing Address |
100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6164945810 |
| Practice Fax Number | 6164945901 |
| Mailing Telephone | 6164866557 |
| Mailing Fax Number | 6164866702 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601004321 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1922283993 | 05 |
| Street Address |
588 E LAKEWOOD BLVD 2ND FLOOR |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103702 | Chad Alen Faber | Family Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2005-06-09 |
| 1417450941 | Barbara Lynn Mccormick | Physical Therapist | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2018-03-12 |
| 1497286447 | Michael Han Raymond | Family Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2017-03-22 |
| 1265978134 | Elise Marie Jones | Physician Assistant | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2017-01-16 |
| 1720434442 | Kyle Geda | Audiologist | 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424-2023 | 2016-05-12 |
| 1669847703 | Erin Walton | Nurse Practitioner | 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424 | 2015-12-01 |
| 1518398676 | Roberta Nicole Wall | Physician Assistant | 588 E Lakewood Blvd, 1st Floor, Holland, MI 49424-2023 | 2013-11-27 |
| 1225473796 | West Michigan Heart | Internal Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2013-05-09 |
| 1710224019 | Kathleen Sue Van Til | Nurse Practitioner | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2013-01-08 |
| 1649540642 | Spectrum Health Primary Care Partners | Internal Medicine | 588 E Lakewood Blvd, Holland, MI 49424-2023 | 2012-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1881167245 | Marathon Health, LLC | Physician Assistant | 284 Roost Ave, Holland, MI 49424-2032 | 2019-01-09 |
| 1306395322 | Therese Lungaro-pike | Physician Assistant | 3232 N Wellness Dr Bldg B, Holland, MI 49424-8027 | 2016-10-03 |
| 1255797643 | Matthew Dale Myaard | Physician Assistant | 370 N. 120th Ave, Holland, MI 49424-2196 | 2016-01-14 |
| 1770897084 | Shauna Brianne Wishka | Physician Assistant | 12330 James St, H-10, Holland, MI 49424-8689 | 2010-07-28 |
| 1952559288 | Carolyn Howe Mossing | Physician Assistant | 168 E 13th St, Holland, MI 49423-3624 | 2008-08-28 |
| 1255430294 | Eugene Michael Biegelman | Physician Assistant | 854 S Washington, Ste 330, Holland, MI 49423 | 2006-09-22 |
| 1124069497 | Angela Burch | Physician Assistant | 646 S Waverly Rd, Holland, MI 49423-9121 | 2006-06-09 |
| 1467499111 | Amanda Mishler | Physician Assistant | 2556 Van Ommen Dr, Holland, MI 49424-8208 | 2006-06-01 |
| 1124625975 | Gregory Scott Post | Physician Assistant | 370 120th Ave, Holland, MI 49424-2120 | 2020-10-05 |
| 1962044115 | Kellie Timmer | Physician Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-10-09 |
| Find all providers in HOLLAND | ||||
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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.