GERALD W CLEVENGER (NPI# 1083610646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083610646 |
| Entity Type | Individual |
| Full Name | GERALD W CLEVENGER |
| Credential | PAC |
| Practice Address |
311 W. Locust St. Troy KS 66087 |
| Mailing Address |
311 W Locust St Troy KS 66087-5252 |
| Practice Telephone | 7859853504 |
| Practice Fax Number | 7859853813 |
| Mailing Telephone | 7859853504 |
| Mailing Fax Number | 7859853813 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1500117 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100098780E | 05 |
| Street Address |
311 W. LOCUST ST. |
| City | TROY |
| State | KS |
| Zip Code | 66087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013107218 | Dennis T. Myers D.d.s.,p.a. | Dentist | 102 E. Walnut Street, Troy, KS 66087 | 2007-07-25 |
| 1871691113 | City of Troy | Emergency Medical Technician, Basic | 136 S. Seneca St., Troy, KS 66087 | 2006-09-20 |
| 1033240619 | Franken Eye Clinic Inc | Optometrist | 116 East Walnut Street, Troy, KS 66087-0188 | 2007-03-08 |
| 1811906936 | Christopher Andrew Franken | Optometrist | 120 E. Walnut St., Troy, KS 66087-0188 | 2006-08-07 |
| 1467569673 | Bradley Jay Gaul | Family Medicine | 207 S Main St., Troy, KS 66087-0547 | 2006-08-24 |
| 1871767962 | County of Doniphan | Public Health or Welfare | 201 S Main St, Troy, KS 66087-4001 | 2008-04-18 |
| 1316966757 | Thomas W Alderson | Family Medicine | 207 S Main St, Troy, KS 66087-4001 | 2006-07-18 |
| 1487625729 | County of Doniphan | Public Health or Welfare | 201 S Main St, Troy, KS 66087-4001 | 2006-01-26 |
| 1386616845 | Jennifer L Voos | Physician Assistant | 207 S Main St, Troy, KS 66087-4017 | 2006-02-07 |
| 1508010877 | Nancy Susan Drake | Social Worker | 1208 215th Rd, Troy, KS 66087-4056 | 2008-11-12 |
| Find all providers in zip 66087 | ||||
| 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 |
|---|---|---|---|---|
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1275146284 | Abigail Christine Miller | Physician Assistant | 4145 Butternut Hill Dr, Troy, MI 48098-4283 | 2020-08-28 |
| 1649882507 | Laurel Jeanne Seabolt | Physician Assistant | 4426 Holly Dr, Troy, MI 48085-4813 | 2020-08-20 |
| 1477164499 | Megan Turner | Physician Assistant | 3130 N County Rd, Troy, OH 45373-1337 | 2020-08-13 |
| 1487278800 | Rachel Barton | Physician Assistant | 2559 Palmerston Dr, Troy, MI 48084-1021 | 2020-06-01 |
| 1649891375 | Meagan Elizabeth Cuff | Physician Assistant | 3815 Ledge Dr, Troy, MI 48084-1141 | 2020-05-05 |
| 1487298329 | Megan Shelly | Physician Assistant | 2571 Hounds Chase Dr, Troy, MI 48098-2338 | 2019-11-04 |
| 1053952341 | Amanda Kate Livolsi | Physician Assistant | 258 Hoosick St Ste 106, Troy, NY 12180-2446 | 2019-10-08 |
| 1952961377 | Harsimran Grewal | Physician Assistant | 6053 Mayapple Dr, Troy, MI 48085-1065 | 2019-06-18 |
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| Find all providers in TROY | ||||
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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.