Katrina Nicole Salvador, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006440 Issued in MI

Practice address

3216 Rochester Rd
Royal Oak, MI 48073-3507

Phone

(248) 588-2222

NPI assigned

Sep 19, 2012

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1528318466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733507",
            "telephone_number": "248-588-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733507",
            "telephone_number": "248-588-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marwan Rami Soud Saleh, M.D.
• Monique Mariah Saleh
• Ahmed Salik
• Mohamed Salim, MBBS
• Blake Henry Salisbury, MD
• Breeanna Salvatore
• Reshma Salvi, PT
• Niharika R Samala, MD
• Michael J Samar Jr., LMSW
• Dilip Samarapungavan, MD

• Physician Assistant in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.