Lindsay Nicole Gietzen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005741 Issued in MI

Practice address

2004 Hazel St
Birmingham, MI 48009-6807

Phone

(248) 723-2477

Fax

(248) 681-3209

NPI assigned

May 7, 2010

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

Other names 1

• Lindsay Nicole Kury Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Nes of Port Huron, Inc.

  • Emergency Medicine Physician
  • Port Huron, MI
  • NPI 1356585327
  NPD (past)

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284854400000",
    "number": "1770801375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19615 GALLAHAD DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441766",
            "telephone_number": "586-329-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAZEL ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096807",
            "telephone_number": "248-723-2477",
            "fax_number": "248-681-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIETZEN",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "KURY",
            "middle_name": "NICOLE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Generations OB GYN Centers
• Gerald a. Shiener, M.D.,P.C.
• Germash Therapeutic Services, LLC
• George Richard Getschman, D.D.S.
• Rachel M Giampetroni, PA-C
• John William Gilkey, M.D.
• Stephanie Joseph Gilkey, PA-C
• Gillian a. Dixon, LMSW, PLLC
• Global Health Medical Devices Inc.
• GLS Solution LLC

• Physician Assistant in Birmingham, MI
• Providers in Birmingham, 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, 2010; 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.