STEPHEN KOTAREK (NPI# 1235371915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235371915 |
| Entity Type | Individual |
| Full Name | STEPHEN KOTAREK |
| Credential | PA |
| Practice Address |
414 G St Ste 221 Marysville CA 95901-5670 |
| Practice Telephone | 9167335090 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19292 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
414 G ST STE 221 |
| City | MARYSVILLE |
| State | CA |
| Zip Code | 95901-5670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629185228 | Gordon Andrew Macbeth | Surgery | 414 G St Ste 221, Marysville, CA 95901-5670 | 2006-08-23 |
| 1053809426 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 221, Marysville, CA 95901-5670 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1710486170 | County of Sutter | Community/Behavioral Health | 8 7th Street, Marysville, CA 95901 | 2018-02-12 |
| 1144747676 | Amanda Shaye Martinez | Counselor | 103 D St., Marysville, CA 95901 | 2017-08-25 |
| 1912424557 | Jasmine Nicole Powers-mesna | Behavior Technician | 413 Pine Street, Marysville, CA 95901 | 2017-08-24 |
| 1457874729 | Rena Raju | Counselor | 1496 N. Beale Rd, Marysville, CA 95901 | 2017-07-19 |
| 1700319027 | Daniel Joseph Desmond V | Specialist/Technologist | 12 E 18th St, Marysville, CA 95901 | 2017-04-04 |
| 1720510340 | Austin James Parr | Specialist/Technologist | 1919 B St, Marysville, CA 95901 | 2017-04-02 |
| 1720411549 | Ann Marie Vallier | Counselor | 320 H Street, Suite 2, Marysville, CA 95901 | 2013-08-15 |
| 1790968725 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 Dubois Street, Suite B, San Rafael, CA 95901 | 2007-12-13 |
| 1275742405 | Yuba County Children and Families At Risk Program | Community/Behavioral Health | 209 6th Street, Marysville, CA 95901 | 2007-05-22 |
| Find all providers in zip 95901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578588349 | Cynthia Lee Nielson | Physician Assistant | 6000 Lindhurst Ave, Ste 601a, Marysville, CA 95901-6129 | 2006-07-13 |
| 1457874893 | Ramneet Basra | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2017-07-18 |
| 1962946236 | Nathaniel Greeley | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2016-12-06 |
| 1417101163 | Jace William Keister | Physician Assistant | 414 G St, Suite 208, Marysville, CA 95901-5663 | 2008-11-07 |
| 1114185907 | Shelley Lynn Wyse | Physician Assistant | 388 Damascus Rd, Marysville, OH 43040-5535 | 2008-05-28 |
| 1164612990 | Craig A. Rhoades | Physician Assistant | 1908 N Beale Rd Ste E, Marysville, CA 95901-6937 | 2007-07-27 |
| 1992719322 | Samantha W Geweke | Physician Assistant | 414 G St, Suite 204, Marysville, CA 95901-5663 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 95901 |
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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.