STEPHANIE E BORING (NPI# 1942398987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942398987 |
| Entity Type | Individual |
| Full Name | STEPHANIE E BORING |
| Credential | PA |
| Practice Address |
1021 E Main St Edmore MI 48829-8740 |
| Practice Telephone | 9894275320 |
| Practice Fax Number | 9894278220 |
| Mailing Telephone | 9894275320 |
| Mailing Fax Number | 9894278220 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003904 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0157311520 | 01 |
| Street Address |
1021 E MAIN ST |
| City | EDMORE |
| State | MI |
| Zip Code | 48829-8740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779267 | Martha N Macharia | Nurse Practitioner | 1021 E Main St, Edmore, MI 48829-8740 | 2019-09-20 |
| 1801459821 | Isabella Medical Associates, Pllc | Clinic/Center | 1021 E Main St, Edmore, MI 48829-8740 | 2019-04-16 |
| 1215438254 | Roberta Lynn Maxson | Physical Therapist | 1021 E Main St, Edmore, MI 48829-8740 | 2018-02-26 |
| 1851808620 | Daniel Richard Brennan | Physician Assistant | 1021 E Main St, Edmore, MI 48829-8740 | 2018-01-03 |
| 1386150746 | Jacquelyn Marie Lewis | Physician Assistant | 1021 E Main St, Edmore, MI 48829-8740 | 2017-12-21 |
| 1679720742 | Shelley L Frantz | Physician Assistant | 1021 E Main St, Edmore, MI 48829-8740 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530771 | Melinda D Lang | Custodial Care Facility | 407 E. Home Street, Edmore, MI 48829 | 2017-07-14 |
| 1760858641 | Db Labs LLC | Clinical Medical Laboratory | 522 East Main St, Edmore, MI 48829 | 2015-08-14 |
| 1770788986 | Cortney Jean Nemeth | Licensed Practical Nurse | 330 S. 2nd, Edmore, MI 48829 | 2007-06-18 |
| 1942336292 | Christopher David Morgan | Dentist | 1315 E Howard City Edmore Rd, Edmore, MI 48829 | 2007-02-23 |
| 1356406680 | Paul J Clouse | Physician Assistant | 223 W. Main St., Po 79, Edmore, MI 48829 | 2006-12-27 |
| 1902833403 | Sheridan Community Hospital | Family Medicine | 223 W. Main Street Po 79, Edmore, MI 48829 | 2006-06-28 |
| 1962446526 | Jared L Halsey | Chiropractor | 503 E. Main St., Edmore, MI 48829 | 2006-06-15 |
| 1477515427 | Ashok Sonnad | Family Medicine | 1380 East Main Street, Edmore, MI 48829 | 2006-04-05 |
| 1811094295 | Great Lakes Medical Associates, PC | Family Medicine | 1021 E. Main Street, Edmore, MI 48829 | 2006-09-20 |
| 1346284775 | Halsey Family Chiropractic, Pllc | Chiropractor | 503 E Main St, Edmore, MI 48829 | 2006-06-15 |
| Find all providers in zip 48829 | ||||
| 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 |
|---|---|---|---|---|
| 1356406680 | Paul J Clouse | Physician Assistant | 223 W. Main St., Po 79, Edmore, MI 48829 | 2006-12-27 |
| 1366532244 | Bruce Robert Reames Jr. | Physician Assistant | 1131 E Howard City Edmore Rd, Edmore, MI 48829-9737 | 2006-10-13 |
| 1851808620 | Daniel Richard Brennan | Physician Assistant | 1021 E Main St, Edmore, MI 48829-8740 | 2018-01-03 |
| 1386150746 | Jacquelyn Marie Lewis | Physician Assistant | 1021 E Main St, Edmore, MI 48829-8740 | 2017-12-21 |
| 1679720742 | Shelley L Frantz | Physician Assistant | 1021 E Main St, Edmore, MI 48829-8740 | 2008-08-20 |
| 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 | ||||
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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.