STACY JO KLASS (NPI# 1003196114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003196114 |
| Entity Type | Individual |
| Full Name | STACY JO KLASS |
| Credential | CNP |
| Practice Address |
1005 Bellefontaine Ave Suite 100 Lima OH 45804-2851 |
| Mailing Address |
951 Commerce Pkwy Suite 101 Lima OH 45804-4040 |
| Practice Telephone | 4192275298 |
| Practice Fax Number | 4192275879 |
| Mailing Telephone | 4199984575 |
| Mailing Fax Number | 4199984586 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA12426 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0053941 | 05 |
| Street Address |
1005 BELLEFONTAINE AVE SUITE 100 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053313171 | Marcus F Cox | Surgery | 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804-2851 | 2005-08-10 |
| 1710121132 | Nasim Mastouri | Internal Medicine | 1005 Bellefontaine Ave, Suite 230, Lima, OH 45804-2851 | 2009-04-29 |
| 1871746735 | Cynthia Grace Trent | Nurse Practitioner | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2008-10-23 |
| 1215109145 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 150, Lima, OH 45805 | 2008-04-01 |
| 1558542522 | Kerry Ann Stedke | Physician Assistant | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-11-19 |
| 1457565061 | Margarite Marie Angelopoulos | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-05-10 |
| 1285789362 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-01-25 |
| 1497806897 | Jennifer Fern Niesen | Obstetrics & Gynecology | 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 | 2007-01-15 |
| 1669521423 | Judith E Rigoni | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2007-01-10 |
| 1730247636 | Daniel Michael Callisto | Pediatrics | 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713967 | Internal Medicine Primary Care Incorporated | Nurse Practitioner | 920 W Market St Ste 210a, Lima, OH 45805-2777 | 2020-02-26 |
| 1770129835 | Kimberly Anne Stump | Nurse Practitioner | 690 Gardenview Cir, Lima, OH 45801-3873 | 2019-11-25 |
| 1104478098 | Anne Marie Sielschott | Nurse Practitioner | 830 W High St Ste 250, Lima, OH 45801-3981 | 2019-07-11 |
| 1982128328 | Wendy Shutler | Nurse Practitioner | 770 W High St Ste 220, Lima, OH 45801-5910 | 2017-07-27 |
| 1881116416 | Jaclyn Goins | Nurse Practitioner | 825 S Cable Rd Ste A, Lima, OH 45805-3467 | 2017-07-14 |
| 1760931034 | Denise Harris | Nurse Practitioner | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 | 2016-09-28 |
| 1861856015 | Shelley Fogt | Nurse Practitioner | 1220 E Elm St Ste 106, Lima, OH 45804-2803 | 2016-04-13 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1871849828 | Ashton J. Crook | Nurse Practitioner | 3224 Jarvis Drive, Lima, OH 45807 | 2012-07-27 |
| 1740587823 | Katherine Hoying | Nurse Practitioner | 240 W Northern Ave Ste 3, Lima, OH 45801-2839 | 2011-02-25 |
| Find all providers in LIMA | ||||
Please comment or provide details below to improve the information on STACY JO KLASS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.