MAKINNI MARIE KORNAK-KOTARBA
NPI 1801612874
Physician Assistant in Grand Rapids, MI

Active since November 25, 2024
301 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 331-5700 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Makinni Marie Kornak-kotarba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKINNI MARIE KORNAK-KOTARBA (NPI 1801612874) is an individual physician assistant in Grand Rapids, Michigan and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1801612874
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAKINNI MARIE KORNAK-KOTARBA
Location Address301 MICHIGAN ST NEGrand Rapids, MI 49503-3314
Mailing Address1 Campus DrAllendale, MI 49401-9403
Sole ProprietorNo
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1801612874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Student in an Organized Health Care Education/Training Program
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Specialist/Technologist (Athletic Trainer)
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Registered Nurse
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Makinni Kornak-kotarba's NPI number?

The NPI number for Makinni Kornak-kotarba is 1801612874. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Makinni Kornak-kotarba located?

Makinni Kornak-kotarba practices at 301 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 331-5700.

What is Makinni Kornak-kotarba's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Makinni Kornak-kotarba was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.