Active NPI
Kathy Tuinhoff, PA-C
- Surgical Physician Assistant
- Petoskey, MI
National Provider Identifier
1144292699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5601002833
- Practice address
- 560 W Mitchell St Ste 400
Petoskey, MI 49770-2274 - Phone
- (231) 487-2490
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601002833 | MI | Primary |
Addresses
Primary practice location
560 W Mitchell St Ste 400
Petoskey, MI 49770-2274
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100819000328 | MI | Practitioner - Physician Assistant | 9436283900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients |
Locations
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1144292699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC 845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE 400",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702274",
"telephone_number": "231-487-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUINHOFF",
"first_name": "KATHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601002833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.