AMY VAN DUSEN (NPI# 1942520119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942520119 |
| Entity Type | Individual |
| Full Name | AMY VAN DUSEN |
| Credential | PA-C |
| Practice Address |
18580 Fort St Riverview MI 48193-7442 |
| Practice Telephone | 7344798800 |
| Mailing Telephone | 7344798800 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2012-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18580 FORT ST |
| City | RIVERVIEW |
| State | MI |
| Zip Code | 48193-7442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864174 | Holle J Janeski | Internal Medicine | 18580 Fort St, Riverview, MI 48193-7442 | 2005-07-08 |
| 1235788035 | Trisha Thomas Tucker | Nurse Practitioner | 18580 Fort St, Riverview, MI 48193-7442 | 2019-09-05 |
| 1194229351 | Lisa Hansen | Nurse Practitioner | 18580 Fort St, Riverview, MI 48193-7442 | 2018-03-22 |
| 1215249594 | Metro Shores Internal Medicine, Pllc | Internal Medicine | 18580 Fort St, Riverview, MI 48193-7442 | 2010-07-02 |
| 1891006987 | Karla Marie Kasza | Internal Medicine | 18580 Fort St, Riverview, MI 48193-7442 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| 1710348974 | Roberta Ryan | Licensed Practical Nurse | 19048 Stonewood, Riverview, MI 48193 | 2016-03-16 |
| 1083978126 | Waqar Ahmed Yazdani | Physical Therapist | 21708 Adams Dr, Brownstown, MI 48193 | 2012-07-03 |
| 1568745008 | Adrianne Rockin Co LLC | Registered Nurse | 17735 Fort St, Riverview, MI 48193 | 2011-09-21 |
| 1962504399 | Barbara Lynn Novak | Technician/Technologist | 19216 Fort Street, Riverview, MI 48193 | 2006-09-05 |
| 1750494282 | Cosmetic Dermatology and Vein Centers of Downriver PC | Dermatology | 17171 Fort St, Riverview, MI 48193 | 2006-08-17 |
| 1235106915 | Syed Muhammad Raza | Internal Medicine | 18025 Fort St, Riverview, MI 48193 | 2006-03-02 |
| 1083686380 | John A Santoro | Dentist | 14525 Sibley Rd, Riverview, MI 48193 | 2006-02-02 |
| 1649240177 | Asker Asmi | Internal Medicine | 18025 Fort Street, Riverview, MI 48193 | 2006-01-26 |
| 1720562051 | Sana Health Inc | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-09-21 |
| Find all providers in zip 48193 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275009631 | Michelle Nicole Hinson | Physician Assistant | 13134 Early Run Ln, Riverview, FL 33578-3387 | 2018-10-23 |
| 1962569467 | Kathleen Farquhar | Physician Assistant | 14700 King Rd Ste A, Riverview, MI 48193-7909 | 2007-01-03 |
| 1720608680 | Jordan Derek Steels | Physician Assistant | 10730 Ketchum Valley Dr, Riverview, FL 33579-7185 | 2020-04-21 |
| 1184288722 | Julia Sangiovanni | Physician Assistant | 7229 Us Highway 301 S, Riverview, FL 33578-4346 | 2019-04-29 |
| 1972989713 | Riverview Medical, Inc | Physician Assistant | 10732 Ketchum Valley Dr, Riverview, FL 33579-7185 | 2015-08-04 |
| 1861727695 | Brianne Michelle Hauser | Physician Assistant | 19020 Fort St, Riverview, MI 48193-6701 | 2009-10-13 |
| 1164513362 | Sandra K Aldridge | Physician Assistant | 19020 Fort St, Riverview, MI 48193-6701 | 2006-09-27 |
| 1447341060 | Karen E Pfander | Physician Assistant | 19020 Fort St, Riverview, MI 48193-6701 | 2006-09-27 |
| 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 | ||||
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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.