MR. KENNETH R GILLEN (NPI# 1225098494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225098494 |
Entity Type | Individual |
Full Name | MR. KENNETH R GILLEN |
Credential | PA-C |
Practice Address |
277 Cohasset Rd Chico CA 95926-2242 |
Mailing Address |
5900 N Libby Rd Paradise CA 95969-4215 |
Practice Telephone | 5308726650 |
Mailing Telephone | 5308725191 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2019-01-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15850 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
7068 Skyway, Paradise, CA 959693940 | 5308771155 |
Street Address |
277 COHASSET RD |
City | CHICO |
State | CA |
Zip Code | 95926-2242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306842265 | Lourdes M Valdez | Pediatrics | 277 Cohasset Rd, Chico, CA 95926-2242 | 2005-06-24 |
1881161701 | Jessica Wix | Physician Assistant | 277 Cohasset Rd, Chico, CA 95926 | 2018-10-29 |
1407371941 | Robert Douglas Grigg | Physician Assistant | 277 Cohasset Rd, Chico, CA 95926 | 2017-08-05 |
1548441728 | Paul Maria Gahlinger | General Practice | 277 Cohasset Rd, Chico, CA 95926 | 2007-11-16 |
1790971513 | Michael J Ferris | Nurse Practitioner | 277 Cohasset Rd, Chico, CA 95926-2242 | 2007-09-16 |
1083792477 | Toni Cecilia Moody | Pediatrics | 277 Cohasset Rd, Chico, CA 95926-2242 | 2006-11-01 |
1598861635 | Dorothy I Chinnock | Nurse Practitioner | 277 Cohasset Rd, Chico, CA 95926-2242 | 2006-09-16 |
1912938234 | Jason R Vance | Family Medicine | 277 Cohasset Rd, Chico, CA 95926 | 2006-07-05 |
1023049624 | Arthur J Brinckerhoff | Internal Medicine | 277 Cohasset Rd, Chico, CA 95926 | 2006-07-05 |
1104853597 | Linda Pendleton | Physician Assistant | 277 Cohasset Rd, Chico, CA 95926-2242 | 2006-06-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
Find all providers in zip 95926 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093831117 | Carlos A Cuellar | Physician Assistant | Student Health Services Csu Chico, Chico, CA 95929-0001 | 2007-03-21 |
1285725895 | Debra Diane Peterson | Physician Assistant | 185 East 7th Ave, Suite D, Chico, CA 95926 | 2006-09-27 |
1285679779 | Leon Denson Royston Jr. | Physician Assistant | 2012 Franklin St, Chico, CA 95928-6727 | 2006-06-18 |
1831180785 | Mary Katherine Hopson | Physician Assistant | 100 Independence Circle, Argyll Medical Group, Chico, CA 95973-0258 | 2005-10-31 |
1811431455 | Shirley Huffman | Physician Assistant | 100 Independence Cir, Chico, CA 95973-0258 | 2016-12-16 |
1275910622 | Aaron David Farmer | Physician Assistant | 845 W East Ave, Chico, CA 95926-2002 | 2015-05-05 |
1922419860 | Northstate Cardiology Consultants | Physician Assistant | 198 Cohasset Rd, Chico, CA 95926-2202 | 2014-05-14 |
1164785093 | David Vincent Robbins II | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2012-06-15 |
1033425889 | Bernadette Marie Connolly | Physician Assistant | 111 Raley Blvd, Suite 140, Chico, CA 95928-8351 | 2010-08-30 |
1821300534 | Stuart E Mishelof | Physician Assistant | 100 Independence Cir, Chico, CA 95973-0258 | 2010-07-10 |
Find all providers in CHICO |
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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.