MARK THOMAS KESTNER (NPI# 1053863662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053863662 |
| Entity Type | Individual |
| Full Name | MARK THOMAS KESTNER |
| Credential | PA |
| Practice Address |
44 Manning St Medford MA 02155-4422 |
| Practice Telephone | 6023150423 |
| Mailing Telephone | 6023150423 |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA6008 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194884445 | Mark A Kestner | Chiropractor | 1435 Nw Broad St, Murfreesboro, TN 37129-1707 | 2006-12-06 |
| 1407964968 | Mark Steven Kestner | Surgery | 501 N Graham St, Suite 580, Portland, OR 97227-1654 | 2006-08-26 |
| Street Address |
44 MANNING ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
| 1811506355 | Nicholas Fantony | Physician Assistant | 28 Leyden St, Medford, MA 02155-6674 | 2020-07-30 |
| 1033739164 | Giana Brunetti | Physician Assistant | 2 Liverpool Way, Medford, NJ 08055-4023 | 2020-04-18 |
| 1881238087 | Rosivel Flores | Physician Assistant | 853 Old Medford Ave, Medford, NY 11763-3521 | 2019-10-30 |
| 1942844386 | Aileen Yaeger | Physician Assistant | 30 Syracuse Ave, Medford, NY 11763-3621 | 2019-10-29 |
| 1568949477 | Evan Xanthos | Physician Assistant | 1600 Delta Waters Rd Ste 107, Medford, OR 97504-9114 | 2018-07-24 |
| 1104369099 | Cullen Anthony Mack | Physician Assistant | 235 E Barnett Rd, Suite 106, Medford, OR 97501-7901 | 2016-11-23 |
| 1972058840 | Victoria Rose Acilio | Physician Assistant | 103 Old Marlton Pike Ste 201, Medford, NJ 08055-8772 | 2016-08-22 |
| 1962896944 | Jeremy Klimar | Physician Assistant | 407 Jesse Ct, Medford, NY 11763-2139 | 2015-03-26 |
| 1952734519 | Richard John Baldev | Physician Assistant | 135 Buffalo Ave, Medford, NY 11763-3710 | 2013-08-18 |
| Find all providers in MEDFORD | ||||
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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.