STACEY MARIE BOSWELL (NPI# 1114268125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114268125 |
Entity Type | Individual |
Full Name | STACEY MARIE BOSWELL |
Other Name | STACEY MARIE SUDHOFF |
Credential | PA |
Practice Address |
2003 Stults Rd Suite 120 Huntington IN 46750-1291 |
Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
Practice Telephone | 2604540425 |
Practice Fax Number | 2603550299 |
Mailing Telephone | 2602668210 |
Mailing Fax Number | 2604585636 |
Enumeration Date | 2013-03-15 |
Last Update Date | 2018-03-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 10001506A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2003 STULTS RD SUITE 120 |
City | HUNTINGTON |
State | IN |
Zip Code | 46750-1291 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437158839 | Julie A Utendorf | Family Medicine | 2003 Stults Rd, Suite 100, Huntington, IN 46750-1291 | 2005-07-18 |
1720458664 | Jami Metzger | Nurse Practitioner | 2003 Stults Rd, Suite 100, Huntington, IN 46750-1291 | 2015-10-05 |
1992109391 | Megan Bobay | Dietitian, Registered | 2003 Stults Rd, Suite 105, Huntington, IN 46750-1291 | 2014-10-14 |
1902114655 | C. Bryan Wait, M.d., Internal Medicine, P.C. | Internal Medicine | 2003 Stults Rd, John B. Kay Mob, Suite 110, Huntington, IN 46750-1291 | 2010-09-15 |
1265558829 | Family Practice Associates, LLP | Clinic/Center | 2003 Stults Rd, Suite 100, Huntington, IN 46750-1291 | 2007-03-22 |
1871669473 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 2003 Stults Rd, Suite 215, Huntington, IN 46750-1291 | 2006-11-27 |
1154401230 | Vickie Jean Gayed | Nurse Practitioner | 2003 Stults Rd, Suite 100, Huntington, IN 46750-1291 | 2006-10-16 |
1932134590 | Kevin R. Stamm | Obstetrics & Gynecology | 2003 Stults Rd, Suite 120, Huntington, IN 46750-1291 | 2006-07-12 |
1649259607 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 2003 Stults Rd, Suite 210, Huntington, IN 46750-1291 | 2006-01-10 |
1598758500 | Heather L Smith | Physician Assistant | 2003 Stults Rd, #210, Huntington, IN 46750-1291 | 2005-08-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457750457 | Michael Sands | Physical Therapist | 2001 Stults Road, Huntington, IN 46750 | 2014-08-15 |
1487917894 | Chelsi Huff | Speech-Language Pathologist | 1401 Park Hill Dr, Huntington, IN 46750 | 2012-06-20 |
1346540556 | Timothy Theye | Social Worker | 2860 Norhpark Ave., Huntington, IN 46750 | 2010-10-22 |
1710215090 | Manry Optometry, Inc. | Optometrist | 2932 Wal-mart Dr, Huntington, IN 46750 | 2009-11-25 |
1821114372 | Assisted Living Concepts Inc | Assisted Living Facility | 460 Forks of The Waba, Huntington, IN 46750 | 2007-03-22 |
1740316199 | Christine A Schnitz | Day Training/Habilitation Specialist | 435 Campus, Kids Kampus, Huntington, IN 46750 | 2007-02-27 |
1447397450 | Pathfinder Services Inc | Occupational Therapist | 435 Campus St, Huntington, IN 46750 | 2007-01-31 |
1487703781 | Sally Eileen Herman | Social Worker | 552 N Jefferson, Huntington, IN 46750 | 2007-01-09 |
1841356482 | Womens Medical Specialists | Obstetrics & Gynecology | 1060 Etna Avenue, Huntington, IN 46750 | 2006-12-28 |
1386748531 | Thomas J Ringenberg | Family Medicine | 941 Etna Ave, Huntington, IN 46750 | 2006-09-09 |
Find all providers in zip 46750 |
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 |
---|---|---|---|---|
1780294520 | Emily Lisanti | Physician Assistant | 17 Grandview St, Huntington, NY 11743-3534 | 2020-08-06 |
1194342667 | Alexandra J Fitts | Physician Assistant | 9 Sherman St, Huntington, NY 11743-6241 | 2020-07-01 |
1851850762 | Adam Phillip Otworth | Physician Assistant | 2900 1st Ave Rm 228, Huntington, WV 25702-1241 | 2019-03-19 |
1376001628 | Elise Frances Lacarrubba | Physician Assistant | 5 E Huxley Dr, Huntington, NY 11743-1009 | 2019-03-06 |
1770980534 | Emily Ann Sombke | Physician Assistant | 249 Manor Rd., Huntington, NY 11743 | 2014-11-21 |
1477800977 | Patrick Shannon Lee | Physician Assistant | Attn: Tammie Silva, 1340 Hal Greer Boulevard, Huntington, WV 25701-3800 | 2012-08-14 |
1134430184 | Jennifer Louise Hofmann | Physician Assistant | 15 Greenhill Ln, Huntington, NY 11743-5818 | 2010-06-24 |
1356581466 | Anna M Kowalczyk | Physician Assistant | 24 Bartlett Pl, Huntington, NY 11743-3702 | 2009-03-02 |
1952520496 | Carol Schachter | Physician Assistant | 180 East Pulaski Road, Huntington, NY 11746 | 2007-04-24 |
1598856536 | Kimberly A Bastible | Physician Assistant | 18 Harmony Rd, Huntington, NY 11743-2316 | 2006-09-27 |
Find all providers in HUNTINGTON |
City | HUNTINGTON |
Zip Code | 46750 |
Please comment or provide details below to improve the information on STACEY MARIE BOSWELL.
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.