Catherine Marie Chimo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001489 Issued in MI

Practice address

820 N Pine River St
Ithaca, MI 48847-1118

Phone

(989) 875-3722

Fax

(989) 875-8903

NPI assigned

Jul 4, 2006

Last updated

Mar 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1508896523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488010994",
            "telephone_number": "989-466-7188",
            "fax_number": "989-463-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N PINE RIVER ST",
            "city": "ITHACA",
            "state": "MI",
            "postal_code": "488471118",
            "telephone_number": "989-875-3722",
            "fax_number": "989-875-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMO",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Ball
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• Joseph Alan Baxter, D.P.T.
• Amy Bray, LLC, CNA, DOULA
• Alex Sean Catlin, DPT
• Daily Living Homecare, Inc.
• Darren M Riopelle DDS
• Ryan Richard Dietlein, D.P.T
• Donald G Prouty (Ithaca Family Practice)
• Donald G Prouty (Ithaca Family Practice)

• Physician Assistant in Ithaca, MI
• Providers in Ithaca, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.