Lisabeth Joy Gee, P.A.

Individual provider Active NPI Physician Assistant · Grant, MI

NPI 1124092838 · NPPES record last updated Jan 19, 2021

Key facts

NPI
1124092838
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601003832 (MI)
Practice address
11 N Maple St
Grant, MI 49327
Phone
(231) 834-0444
Fax
(231) 834-0200
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051101001018 MI Practitioner - Physician Assistant 0648297341 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care Current
since Mar 4, 2019
Accepting new patients
Baldwin Family Health Care Current
since Mar 4, 2019
Accepting new patients
Platinum Living LLC Past Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

Interoperability endpoints

  • Direct secure messaging: lisabeth.gee.1@26566.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003832 MI Yes

Addresses

Primary practice location

11 N Maple St
Grant, MI 49327

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527

Other practice location 1

71 S Front St
Grant, MI 49327-9701
Phone (231) 834-5676

Other names

  • Lisabeth Joy Kunst Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 19, 2021.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1124092838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-876-6527",
            "fax_number": "231-876-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "49327",
            "telephone_number": "231-834-0444",
            "fax_number": "231-834-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 S Front St",
            "address_purpose": "LOCATION",
            "city": "Grant",
            "state": "MI",
            "postal_code": "493279701",
            "country_code": "US",
            "telephone_number": "231-834-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEE",
        "first_name": "LISABETH",
        "middle_name": "JOY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISABETH",
            "last_name": "KUNST",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grant, MI

All providers in Grant, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.