Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK A BOOMERSHINE, PA
ActiveMR. MARK A BOOMERSHINE, PA is a Medical Physician Assistant healthcare provider located in EAST LANSING, Michigan. NPI 1164617122 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · EAST LANSING, MI
Registration Details
- NPI Number
- 1164617122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2007 (18.901844098239 yrs)
- Last Updated
- Mar 7, 2023
- License
-
5601001393 (MI)
Practice Information
- Address
-
3496 E LAKE LANSING RDSUITE 100EAST LANSING, MI, 488232288Browse MI providers · Browse ZIP 48823
- Phone
- 5173330968
- Fax
- 5173334306
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in EAST LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| MR. JOSHUA DAVID FELLER | PA-C | 1932188638 |
| KATHLEEN A FLANNERY | PA | 1528013489 |
| MS. DEBORAH L REID | PA-C | 1558318840 |
| MRS. AMY L HEESCHEN | PAC | 1336172618 |
| MARY ELIZABETH TURNER | PA-C | 1053402446 |
| KATE MERYL SUPIANOSKI | PA | 1679767222 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.