KILEY DALE TITUS


Address: 165 E Union St, Newark, NY 14513-1559
Phone: 3153328041

KILEY DALE TITUS (NPI# 1376001990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376001990
Entity Type Individual
Full Name KILEY DALE TITUS
Practice Address 165 E Union St
Newark
NY 14513-1559
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 3153328041
Enumeration Date 2019-03-04
Last Update Date 2019-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 023346 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 165 E UNION ST
City NEWARK
State NY
Zip Code 14513-1559

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215648 Susan Marie Oberdorf Speech-Language Pathologist 133 Elmwood, Newark, NY 14513 2020-05-04
1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1689192817 Melanie Swarthout Case Manager/Care Coordinator 150 Van Buren St., Newark, NY 14513 2017-09-08
1942650882 Donna Joy Collins I Speech-Language Pathologist 848 Pierson Avenue, Newark, NY 14513 2016-06-21
1972952661 Cj-mak Transportation, Inc. Non-emergency Medical Transport (VAN) 227 State Farm Road, Newark, NY 14513 2016-06-03
1306214473 Stephanie Belli Licensed Practical Nurse 5904 Austin Road, Newark, NY 14513 2015-09-08
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1861802373 Jeffrey Spencer Urology 1202 Driving Park Ave Ste 5, Newark, NY 14513 2014-05-06
1609126648 Natasha Triplett Student in an Organized Health Care Education/Training Program 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 2012-09-18
1922377902 Lisa E. Williams Licensed Practical Nurse 701 Peirson Ave., Newark, NY 14513 2011-12-21
Find all providers in zip 14513

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326647488 Julia Siyao Yu Physician Assistant 541 Oakdale Rd Apt D, Newark, DE 19713-2928 2020-10-20
1528559457 Sarah Mun Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19713 2018-05-26
1750833646 Rosalyn Hightower Physician Assistant 1213 Churchmans Rd, Newark, DE 19713-2149 2016-10-26
1013342757 Leia Lavoie Collins Physician Assistant 4735 Ogletown- Stanton Rd Map 2 Suite 1208, Newark, DE 19713-2072 2013-09-12
1447509179 Chloe E Dickinson Physician Assistant 550 S College Ave Ste 115, Newark, DE 19706-1308 2012-09-10
1447509591 Drew Pento Physician Assistant 4051 Ogletown Stanton Rd, Newark, DE 19718-0001 2012-09-05
1568711034 Jacqueline Pellenbarg Physician Assistant 4701 Ogletown Stanton Rd Ste 2100, Newark, DE 19713-7000 2012-08-30
1912284530 Ian A Blizzard Physician Assistant 2600 Glasgow Ave Ste 124, Newark, DE 19702-4777 2011-11-10
1043596133 Victoria Leicht Physician Assistant 537 Stanton Christiana Rd Ste 209, Newark, DE 19713-2148 2011-11-02
1619266301 Ideal First Assistants LLC Physician Assistant 174 Mapes Ave Fl 3, Newark, NJ 07112-2018 2011-04-04
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City NEWARK
Zip Code 14513

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Dataset Information

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.

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