ALEXANDRIA NOEL STAUB (NPI# 1114408945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114408945 |
| Entity Type | Individual |
| Full Name | ALEXANDRIA NOEL STAUB |
| Credential | PA-C |
| Practice Address |
1900 Main St Ste A Klamath Falls OR 97601-2629 |
| Mailing Address |
6394 S Solar Way Boise ID 83709-8605 |
| Practice Telephone | 5413825712 |
| Mailing Telephone | 5412819022 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
|---|---|---|
| 2747 Ne Conners Ave, Bend, OR 977018738 | 5413825712 |
| Street Address |
1900 MAIN ST STE A |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| 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 |
|---|---|---|---|---|
| 1801495569 | Lynsie Wolfe | Physician Assistant | 3000 Bryant Williams Dr Ste 200, Klamath Falls, OR 97601-1140 | 2020-10-22 |
| 1376660597 | Jason Kent Winebarger | Physician Assistant | 4636 Sjodin Ln, Klamath Falls, OR 97603-6899 | 2007-03-23 |
| 1821046962 | Anthony M Hamilton | Physician Assistant | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2006-05-04 |
| 1164418083 | Catherine Evelyn Noble | Physician Assistant | 2613 Almond St, Klamath Falls, OR 97601-1116 | 2005-09-26 |
| 1255961462 | Hannah Jayne Hayes | Physician Assistant | 2074 S 6th St, Klamath Falls, OR 97601-3372 | 2020-01-16 |
| 1093355166 | Rachael Mudd | Physician Assistant | 2865 Daggett Ave, Klamath Falls, OR 97601-1106 | 2020-01-07 |
| 1033751912 | Samantha N Lee | Physician Assistant | 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601-1121 | 2019-10-12 |
| 1174172316 | Ahjainene Tiahna Hamilton Barkalow | Physician Assistant | 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1130 | 2019-09-10 |
| 1861046328 | Daniel M Garner | Physician Assistant | 2614 Almond St, Klamath Falls, OR 97601-1117 | 2019-08-01 |
| 1922587450 | Sierra Patzke | Physician Assistant | 2821 Daggett Ave Ste 100, Klamath Falls, OR 97601-1106 | 2018-08-06 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on ALEXANDRIA NOEL STAUB.
| 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.