MR. ANDREW WILLSON (NPI# 1952770976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952770976 |
| Entity Type | Individual |
| Full Name | MR. ANDREW WILLSON |
| Credential | PA-C |
| Practice Address |
3720 Katalin Ct Bay City MI 48706-2160 |
| Practice Telephone | 9896862800 |
| Mailing Telephone | 9896862800 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007552 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3720 KATALIN CT |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831162460 | Revan Maragiri | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2006-02-13 |
| 1588219257 | Bay Area Physician Services PC | Clinic/Center | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2019-08-08 |
| 1609304187 | Jodie Marie Kelly | Nurse Practitioner | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2017-05-30 |
| 1245521152 | Harmohan S Kochar Md | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-26 |
| 1629369988 | Mclaren Medical Group | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2011-04-21 |
| 1407185499 | Sulaiman Mohammad | Psychiatry & Neurology | 3720 Katalin Ct, Bay City, MI 48706-2106 | 2009-12-22 |
| 1003143835 | Revan Maragiri Md Plc | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2009-11-16 |
| 1144554106 | Vjr Inc | Pharmacy | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2009-09-23 |
| 1194914069 | Abul F Islam Md PC | Internal Medicine | 3720 Katalin Ct, Suite 203, Bay City, MI 48706-2160 | 2007-10-17 |
| 1013923770 | Bay Area Health Clinic PC | Internal Medicine | 3720 Katalin Ct, Bay City, MI 48706-2160 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| 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 |
|---|---|---|---|---|
| 1215552617 | Kristen Ann Tobin | Physician Assistant | 3098 Glenway Pl, Bay City, MI 48706-2352 | 2020-06-11 |
| 1043861263 | Jessica Lee Ruff | Physician Assistant | 71 E Salzburg Rd, Bay City, MI 48706-9712 | 2019-09-28 |
| 1801167655 | Christi Marie Bush | Physician Assistant | 701 S Lincoln St, Bay City, MI 48708-7412 | 2012-01-24 |
| 1730460767 | Maegan S Klawinski | Physician Assistant | 2919 Wilder Rd Ste 220, Bay City, MI 48706-9602 | 2011-09-04 |
| 1952510588 | Lisa Marie Reed | Physician Assistant | 4497 Sheffield Place, Bay City, MI 48706 | 2007-05-21 |
| 1467502914 | Mary Cronkright | Physician Assistant | 3720 Katalin Ct Ste 201, Bay City, MI 48706-2160 | 2007-01-10 |
| 1366424665 | Brent Michael Maze | Physician Assistant | 3884 Monitor Road, Bay City, MI 48706-9298 | 2005-11-14 |
| 1386632164 | John Arthur Martin | Physician Assistant | 3884 Monitor Rd, Bay City, MI 48706-9298 | 2005-10-06 |
| 1861031460 | Taylor Ann Brenz | Physician Assistant | 1900 Columbus Ave Fl 4, Bay City, MI 48708-6831 | 2019-12-30 |
| 1316403504 | Kelli Christie | Physician Assistant | 4 Columbus Ave Ste 140, Bay City, MI 48708-6469 | 2019-02-13 |
| Find all providers in BAY CITY | ||||
Please comment or provide details below to improve the information on MR. ANDREW WILLSON.
| 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.