Active NPI
Denise Kay Vonau, PA-C
- Physician Assistant
- Suttons Bay, MI
National Provider Identifier
1265527675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002591
- Practice address
- 93 B Fourth St
Suttons Bay, MI 49682-0397 - Phone
- (231) 271-5990
- Fax
- (231) 271-5959
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002591 | MI | Primary |
Addresses
Primary practice location
93 B Fourth St
Suttons Bay, MI 49682-0397
Mailing address
10533 E Garthe Rd
Northport, MI 49670
Phone (231) 386-9813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002591 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265527675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10533 E GARTHE RD",
"city": "NORTHPORT",
"state": "MI",
"postal_code": "49670",
"telephone_number": "231-386-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 B FOURTH ST",
"city": "SUTTONS BAY",
"state": "MI",
"postal_code": "496820397",
"telephone_number": "231-271-5990",
"fax_number": "231-271-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONAU",
"first_name": "DENISE",
"middle_name": "KAY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suttons Bay, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.