STEPHEN MICHAEL QUILLEN (NPI# 1205184520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205184520 |
| Entity Type | Individual |
| Full Name | STEPHEN MICHAEL QUILLEN |
| Credential | PHARMD, PA-C |
| Practice Address |
17273 State Route 104 Chillicothe OH 45601-9718 |
| Mailing Address |
17273 State Route 104 Building 31 Room 1-209 Chillicothe OH 45601-9718 |
| Practice Telephone | 7407731141 |
| Mailing Telephone | 7407731141 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2015-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 003674 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03132330 | OH | Pharmacy Service Providers |
| Street Address |
17273 STATE ROUTE 104 |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189978 | Vincent Kirkhart | Physician Assistant | 17273 State Route 104, Chillicothe, OH 45601-8608 | 2005-07-29 |
| 1942800040 | Jeffrey David Leeth | Recreation Therapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-10-28 |
| 1649879297 | Justin Peterson | Recreation Therapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-10-23 |
| 1376142018 | Melissa Williams | Recreation Therapist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-10-23 |
| 1366050817 | Cory David Mathia | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-07-21 |
| 1942827043 | Julianne Marie Golinski | Optometrist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2020-07-06 |
| 1619516192 | Sabrina Marie Gonzales | Psychologist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-12-31 |
| 1003467887 | Allison Nicole Ryan | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-09-24 |
| 1386290658 | Loren Mackenzie Knisley | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-08-13 |
| 1699328310 | Jenna Kendrick | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013385202 | Caitlin Huffman | Pharmacist | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2015-09-04 |
| 1033341482 | Norman Fredric Corbett | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
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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.