BROOKE M SCOLLIN (NPI# 1063905560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063905560 |
| Entity Type | Individual |
| Full Name | BROOKE M SCOLLIN |
| Credential | PA-C |
| Practice Address |
801 Medical Dr Ste A Lima OH 45804-4030 |
| Practice Telephone | 4192226622 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Continental Dr, Newark, DE 197134306 | 3023569440 |
| Street Address |
801 MEDICAL DR STE A |
| City | LIMA |
| State | OH |
| Zip Code | 45804-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899594 | Andrew E Layne | Orthopaedic Surgery | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2005-08-30 |
| 1447858972 | Melissa M Kloeppel | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-10-16 |
| 1003446170 | Logan Michael Rieman | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2020-01-17 |
| 1689216939 | James Westley Carlier | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-10-08 |
| 1578029641 | Breanna L Hanna | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2019-02-14 |
| 1679040943 | Jered Hill | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-10-25 |
| 1679054464 | Staci Leigh Clutter | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-08-28 |
| 1467943993 | Tabatha Ann Perreault | Nurse Practitioner | 801 Medical Dr Ste A, Lima, OH 45804 | 2018-05-21 |
| 1013424597 | Kyle T Shroll | Physical Therapist | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2018-01-05 |
| 1548789837 | Alec Winchester Curry | Physician Assistant | 801 Medical Dr Ste A, Lima, OH 45804-4030 | 2017-09-18 |
| 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 | 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 |
|---|---|---|---|---|
| 1285255596 | Rachael Lauren Zimmerman | Physician Assistant | 120 Quail Dr, Lima, OH 45806-1616 | 2020-04-28 |
| 1316986482 | Eric E Miller | Physician Assistant | 720 W Market St, Lima, OH 45801-4602 | 2006-06-05 |
| 1184616179 | Jennifer L Tobin | Physician Assistant | 1005 Bellefontaine Ave Ste 125, Lima, OH 45804-2893 | 2005-08-17 |
| 1760018626 | Sirena Renee Kitz | Physician Assistant | 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 2020-03-22 |
| 1538701958 | Caleb M Barrera | Physician Assistant | 730 W Market St, Lima, OH 45801-4602 | 2019-10-17 |
| 1922649912 | Cory Robert Heuerman | Physician Assistant | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2019-10-01 |
| 1295376366 | Melissa M Scott | Physician Assistant | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2019-09-30 |
| 1033760244 | Cameron Pappa | Physician Assistant | 830 W High St Ste 360, Lima, OH 45801-3985 | 2019-09-28 |
| 1871142927 | Morgan Nicole Dewitt | Physician Assistant | 770 W High St Ste 300, Lima, OH 45801-5914 | 2019-09-10 |
| 1295397958 | Kayla Vonseggern | Physician Assistant | 730 W Market St, Lima, OH 45801-4602 | 2019-07-02 |
| Find all providers in LIMA | ||||
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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.