ALEXIS ROSE VAVALA (NPI# 1003416165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003416165 |
| Entity Type | Individual |
| Full Name | ALEXIS ROSE VAVALA |
| Practice Address |
1885 Market St Warren PA 16365-1277 |
| Practice Telephone | 8147231832 |
| Mailing Telephone | 8147231832 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA061752 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1885 MARKET ST |
| City | WARREN |
| State | PA |
| Zip Code | 16365-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043331994 | Children's Center for Treatment and Education | Community/Behavioral Health | 1885 Market St, Warren, PA 16365-1277 | 2007-04-02 |
| 1043863947 | Children's Center for Treatment and Education | Clinic/Center | 1885 Market St, Warren, PA 16365-1277 | 2019-07-19 |
| 1912442666 | Eric Decker | Physician Assistant | 1885 Market St, Warren, PA 16365-1227 | 2017-01-04 |
| 1790136265 | Kari Ruth Salapek | Counselor | 1885 Market St, Warren, PA 16365-1227 | 2016-06-27 |
| 1619337490 | Jennifer Mayhue | Marriage & Family Therapist | 1885 Market St, Warren, PA 16365-1227 | 2016-03-07 |
| 1235509787 | Darling Apothecary | Pharmacy | 1885 Market St, Warren, PA 16365-1227 | 2015-09-27 |
| 1407247422 | Forest Warren Mental Wellness Association | Case Management | 1885 Market St, Warren, PA 16365-1227 | 2015-02-12 |
| 1013311364 | Joel Patrick Davison | Social Worker | 1885 Market St, Warren, PA 16365-1227 | 2014-10-15 |
| 1366609646 | Children's Center for Treatment and Education | Clinic/Center | 1885 Market St, Warren, PA 16365-1227 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481476 | Samantha Reidt | Physician Assistant | 30957 Lorraine Ave, Warren, MI 48093-8014 | 2014-10-08 |
| 1063796837 | Charmaine Scott | Physician Assistant | 436 Commerce Ave Nw, Warren, OH 44485-2501 | 2011-09-28 |
| 1235325226 | Kaiser Medical Center PC | Physician Assistant | 11670 Martin Rd, Warren, MI 48093-4511 | 2007-09-24 |
| 1487706859 | Rita Jean Rose | Physician Assistant | 2104 E. 11 Mile Road, Suite 600, Warren, MI 48091 | 2007-01-17 |
| 1093885204 | Christopher P Czata | Physician Assistant | 27560 Hoover, Warren, MI 48093-3400 | 2006-11-08 |
| 1447331459 | Michelle Elizabeth Cruz | Physician Assistant | 2104 E 11 Mile Rd Ste 600, Warren, MI 48091-6123 | 2006-10-17 |
| 1538628607 | Caleb Markusic | Physician Assistant | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2019-03-18 |
| 1245758739 | Haley Hani Matty | Physician Assistant | 26000 Hoover Rd, Warren, MI 48089 | 2017-09-05 |
| 1235598194 | Noor Zora | Physician Assistant | 29703 Hoover Rd, Warren, MI 48093-8901 | 2016-02-19 |
| 1942671169 | Stephanie Duda | Physician Assistant | 8747 Squires Ln Ne, Warren, OH 44484-1649 | 2015-10-14 |
| Find all providers in WARREN | ||||
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| 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.