Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deangelo Webster, PA-C

Individual provider Physician Assistant · NPI 1598787079

Deangelo Webster, PA-C is a Physician Assistant in Wyandotte, Michigan. Qualified in 1998, 28 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

375 Eureka Rd Ste B
Wyandotte, MI 48192
Phone: (734) 225-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5391 — (734) 936-7491

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601002997 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 5601002997 (MI)

Record details

NPI number1598787079
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESApril 17, 2019
Mailing address17197 N Laurel Park Dr Ste 107, Livonia, MI 48152-7910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wyandotte