PAMELA R KOEHLER (NPI# 1255651063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255651063 |
| Entity Type | Individual |
| Full Name | PAMELA R KOEHLER |
| Credential | PA |
| Practice Address |
721a River Dr Fort Bragg CA 95437-5402 |
| Mailing Address |
721 River Drive Suite A Fort Bragg CA 95437-0000 |
| Practice Telephone | 7079641192 |
| Practice Fax Number | 7079644631 |
| Mailing Telephone | 7079641192 |
| Mailing Fax Number | 7079644631 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
13556 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699852129 | Pamela M Koehler | Advanced Practice Midwife | 920 West St, Bldg B, Peru, IL 61354-2763 | 2006-11-01 |
| Street Address |
721A RIVER DR |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316375421 | Stephen Witte | Physician Assistant | Gruber Rd Bldg C-1722, Fort Bragg, NC 28310-0001 | 2013-10-29 |
| 1619253523 | Kurt Kresta | Physician Assistant | 2817 Rielly Rd Mcxc-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2011-10-25 |
| 1265740674 | Roger Leon Harrison | Physician Assistant | 2817 Reilly Road Mxcx-cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2010-09-20 |
| 1598891517 | Jeffrey Alan Weiss | Physician Assistant | Womack Army Hospital, Fort Bragg, NC 28304-0000 | 2007-02-26 |
| 1942386107 | Maureen Marnell Sevilla | Physician Assistant | Joel Health Clinic Src, Womack Army Medcen, Fort Bragg, NC 28310-0001 | 2006-10-31 |
| 1679660518 | Kane D Morgan | Physician Assistant | Reilly Rd Bldg 4-2817, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-10-10 |
| 1609983360 | Wilda Ann Mccain | Physician Assistant | Womack Army Medical Center Physical Exams, Reilly Rd, Fort Bragg, NC 28310-0001 | 2006-08-25 |
| 1235171869 | Sherry Lynn Womack | Physician Assistant | M4861 Logistics Ave, Fort Bragg, NC 28310-0001 | 2006-06-11 |
| 1588625461 | Michael Douglas Newman | Physician Assistant | Clark Health Clinic, Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-03-30 |
| 1760443071 | David W. Myers | Physician Assistant | Bldg 5-4257 Bastogne Street Extension, Fort Bragg, NC 28310-0001 | 2006-03-29 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on PAMELA R KOEHLER.
| 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.