MR. KENYON JAY SOLECKI (NPI# 1417476029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417476029 |
| Entity Type | Individual |
| Full Name | MR. KENYON JAY SOLECKI |
| Credential | MS, PA-C |
| Practice Address |
2120 Exchange St Ste 111 Astoria OR 97103-3366 |
| Practice Telephone | 5033250333 |
| Practice Fax Number | 5033256333 |
| Mailing Telephone | 5033250333 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA184757 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2120 EXCHANGE ST STE 111 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| 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 |
|---|---|---|---|---|
| 1194369686 | Misha Chishty | Physician Assistant | 2213 26th St, Astoria, NY 11105-3151 | 2019-10-29 |
| 1205321023 | Sindi Petushi | Physician Assistant | 2318 31st St Ste 302, Astoria, NY 11105-2765 | 2018-06-25 |
| 1386156479 | Sara Missaoui | Physician Assistant | 2510 30th Rd, Astoria, NY 11102-2601 | 2017-10-29 |
| 1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
| 1427507185 | Rachel Lee Flescher | Physician Assistant | 2158 Exchange St Ste 107, Astoria, OR 97103-3316 | 2016-09-22 |
| 1316317985 | Rachel Deir | Physician Assistant | 3165 46th St, Astoria, NY 11103-1642 | 2015-09-25 |
| 1942678578 | Veronica Elizabeth Suarez | Physician Assistant | 2347 Crescent St, Astoria, NY 11105-3107 | 2015-09-14 |
| 1720409824 | Patrick John Kelly | Physician Assistant | 3318 Broadway, Astoria, NY 11106-1806 | 2013-12-17 |
| 1124337795 | Peter Gyuratz | Physician Assistant | 3111 Steinway St, Astoria, NY 11103-3908 | 2010-09-30 |
| 1366042012 | Joshua Guevarra | Physician Assistant | 2510 30th Ave, Astoria, NY 11102-2418 | 2020-10-30 |
| Find all providers in ASTORIA | ||||
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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.