MRS. SARAH JAYCE SMALLEY (NPI# 1316275662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316275662 |
| Entity Type | Individual |
| Full Name | MRS. SARAH JAYCE SMALLEY |
| Other Name | SARAH JAYCE KOWALCZYK |
| Credential | PA-C |
| Practice Address |
301 N 8th St Springfield IL 62701-1041 |
| Mailing Address |
1900 Silver Cross Blvd New Lenox IL 60451-9509 |
| Practice Telephone | 2175287541 |
| Practice Fax Number | 2175288962 |
| Mailing Telephone | 8153007106 |
| Mailing Fax Number | 8153007047 |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.002862 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265909824 | Sarah Elizabeth Smalley | Counselor | 200 1st Ave W Ste 400, Seattle, WA 98119-4219 | 2018-10-31 |
| 1427423425 | Sarah Smalley | Occupational Therapist | 905 E Los Ebanos Blvd Ste C, Brownsville, TX 78520-8720 | 2015-12-02 |
| Street Address |
301 N 8TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62701-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
| 1073148375 | Ashley Kirkpatrick | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2020-03-06 |
| 1699260299 | Eman Mosleh | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2018-06-26 |
| 1508370719 | Linsey Meloche | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2017-11-27 |
| 1649789736 | Nichole Kristine Chatham | Occupational Therapist | 301 N 8th St, Springfield, IL 62701-1041 | 2017-09-21 |
| 1174075147 | Loralee Donnelly | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701 | 2016-10-26 |
| 1740639533 | Matthew Leland Davis | Urology | 301 N 8th St, Springfield, IL 62701-1041 | 2016-06-13 |
| 1578910741 | Bradley Christopher Holland | Urology | 301 N 8th St, 4b143c, Springfield, IL 62701-1041 | 2016-05-18 |
| 1295182467 | Meredith Volle | Pediatrics | 301 N 8th St, 4a, Springfield, IL 62701-1041 | 2016-05-18 |
| 1205299542 | Rebecca S. Vanmeter | Nurse Practitioner | 301 N 8th St, Springfield, IL 62701-1041 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687183 | Affinity Patient Coordination LLC | In Home Supportive Care | 217 E Monroe St Ste 102, Springfield, IL 62701 | 2018-07-31 |
| 1427498435 | Donald L Jacoby | Pharmacist | 701 N. First St., Springfield, IL 62701 | 2013-07-05 |
| 1700183480 | Erin Zepp | Dietitian, Registered | 319 E Madison St Ste 1f, Springfield, IL 62701 | 2011-02-16 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1396924148 | Jeanne Lyn Malone | Counselor | 408 South Fifth Street, Springfield, IL 62701 | 2007-10-29 |
| 1942422928 | Nobuharu Harada | Family Medicine | 301 N 8th, Pav-3a158, Springfield, IL 62701 | 2007-05-02 |
| 1427131127 | Radiological Associates of Decatur | Radiology | 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 | 2006-10-24 |
| 1669498606 | Independence Holding Co LLC | Pharmacy | 201 North 5th Street, Springfield, IL 62701 | 2006-07-14 |
| 1720070238 | Neil J. Thomas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2005-08-19 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| Find all providers in zip 62701 | ||||
| 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 |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62701 |
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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.