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NPI 1720772668ActiveIndividual· Physician Assistant· Rochester, MI
Physician Assistant with Henry Ford Health St. John Hospital, practicing in Rochester, Michigan. Enrolled in Medicare as practitioner - physician assistant. Kestra Medical Technology Services, Inc. was the largest of 4 companies reporting payments in 2025, $384.02 in all, mostly food and beverage. Lists Henry Ford Health St John Hospital as a hospital affiliation.
Overview
| NPI | 1720772668 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 5, 2023 |
| Last updated in NPPES | Jul 8, 2025 |
| Certified by provider | Jul 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601011781 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Henry Ford Health St. John HospitalDetroit, MI · 348 clinicians
Hospital affiliation
- Henry Ford Health St John HospitalDetroit, MI
Industry payments (Open Payments)
- 2025$384.02 · 14 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kestra Medical Technology Services, Inc. | $252.57 | 6 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $86.75 | 5 |
| Cordis US Corp. | $30.91 | 2 |
| Chiesi USA, Inc. | $13.79 | 1 |
What the 2025 payments were for
- Food and Beverage$384.02 · 14 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 physician assistants in Rochester · All physician assistants in Michigan