HEIDI FITE (NPI# 1942584941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942584941 |
| Entity Type | Individual |
| Full Name | HEIDI FITE |
| Other Name | HEIDI SZERLONG |
| Credential | PA-C |
| Practice Address |
11293 N M 37 Ste. A Buckley MI 49620-9593 |
| Practice Telephone | 2312694185 |
| Practice Fax Number | 2312694461 |
| Mailing Telephone | 2312694185 |
| Mailing Fax Number | 2312694461 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007246 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 6274 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003121146A | 05 | |
| SC | 1343PA | 05 |
| Street Address |
11293 N M 37 STE. A |
| City | BUCKLEY |
| State | MI |
| Zip Code | 49620-9593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578547071 | Northern Pines Health Center, PC | Preferred Provider Organization | 11293 N M 37, Suite A, Buckley, MI 49620-9593 | 2005-11-30 |
| 1063878973 | Kori Marvin | Physician Assistant | 11293 N M 37, Buckley, MI 49620-9593 | 2016-01-07 |
| 1609061464 | Gregory G North Phd PC | Psychologist | 11293 N M 37, Suite A, Buckley, MI 49620-9593 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699851659 | David L Duff | Chiropractor | 11391 South M-37, Buckley, MI 49620 | 2006-10-31 |
| 1861568479 | Mitzie Jean Hewitt | Family Medicine | 11293 N M-37, Suite A, Buckley, MI 49620 | 2006-11-27 |
| 1851375745 | Gregory Guy North | Psychologist | 11293 N M-37, Suite A, Buckley, MI 49620-0001 | 2005-12-03 |
| 1104905181 | Village of Buckley | Ambulance | 106 Industrial Dr, Buckley, MI 49620-0113 | 2006-11-02 |
| 1831680081 | Julia Sherilynn Pickard | Behavior Technician | 11730 N 17 Rd, Buckley, MI 49620-9504 | 2018-05-23 |
| 1619475969 | Luke Brandon Holly | Physician Assistant | 124 Navaho Trl, Buckley, MI 49620-9527 | 2018-01-31 |
| 1538700646 | Sarah Winske | Behavior Technician | 100 N Woodmeadows Dr, Buckley, MI 49620-9579 | 2019-10-01 |
| 1891992244 | Heidi Hansen Burgess | Physical Therapist | 10199 Samson Woods Dr, Buckley, MI 49620-9592 | 2007-06-29 |
| 1912452731 | Alexander Cooper | Nurse Practitioner | 11293 N M 37 Ste A, Buckley, MI 49620-9593 | 2016-08-22 |
| 1336365279 | Kelly R Mcdonough | Physical Therapist | 11293 N M 37 Ste B, Buckley, MI 49620-9593 | 2007-04-18 |
| Find all providers in zip 49620 | ||||
| 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 |
|---|---|---|---|---|
| 1619475969 | Luke Brandon Holly | Physician Assistant | 124 Navaho Trl, Buckley, MI 49620-9527 | 2018-01-31 |
| 1063572766 | Carrie Lee Minto | Physician Assistant | 11293 S M 37, Suite A, Buckley, MI 49620-9593 | 2006-12-11 |
| 1063878973 | Kori Marvin | Physician Assistant | 11293 N M 37, Buckley, MI 49620-9593 | 2016-01-07 |
| 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.