MISS MIKAYLA GRACE GOWETT (NPI# 1275000481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275000481 |
| Entity Type | Individual |
| Full Name | MISS MIKAYLA GRACE GOWETT |
| Credential | PA-C |
| Practice Address |
7 Musket March Mechanicville NY 12118 |
| Practice Telephone | 5186647041 |
| Mailing Telephone | 5186647041 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7 MUSKET MARCH |
| City | MECHANICVILLE |
| State | NY |
| Zip Code | 12118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760998 | Kelly Ann Doering | Social Worker | 2452 U.s Route 9, Suite 206, Mechanicville, NY 12118 | 2020-08-10 |
| 1366050502 | Meghan Ruth Lourie | Social Worker | 2452 U.S. Route 9, Suite 206, Mechanicville, NY 12118 | 2020-07-14 |
| 1245888957 | Keith Simpson | Technician | 21 Camber Ct, Mechanicville, NY 12118 | 2019-08-27 |
| 1588113252 | Amanda Bane | Social Worker | 2452 Route 9, Suite 206, Mechanicville, NY 12118 | 2016-09-23 |
| 1407095383 | Bruce Richard Clarke | Dentist | 203 North Second Ave, Mechanicville, NY 12118 | 2009-02-17 |
| 1134334857 | Elizabeth Louise Eigner | Registered Nurse | 9grandst, Mechanicville, NY 12118 | 2007-05-14 |
| 1649308404 | Nicole Decrescenzo | Physical Therapist | 218 S. Central Avenue, Mechanicville, NY 12118 | 2007-03-01 |
| 1083704779 | Phyllis M Dellacroce | Chiropractor | 505 Park Ave, Mechanicville, NY 12118 | 2006-10-13 |
| 1295824134 | Ingrid Bermudez | Family Medicine | 242 So Central Ave, Mechanicville, NY 12118 | 2006-10-11 |
| 1164451035 | Family Dental Associates LLP | Dentist | 211 Park Ave, Mechanicville, NY 12118 | 2006-07-02 |
| Find all providers in zip 12118 | ||||
| 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 |
|---|---|---|---|---|
| 1366923732 | Mckenzie Leigh Jaax | Physician Assistant | 2388 Route 9, Mechanicville, NY 12118-3433 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICVILLE |
| Zip Code | 12118 |
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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.