KATELYN MABEN (NPI# 1447640123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447640123 |
| Entity Type | Individual |
| Full Name | KATELYN MABEN |
| Credential | PA-C |
| Practice Address |
550 S Hudson Ave Aurora MO 65605-2362 |
| Mailing Address |
1401 S Fremont Ave Springfield MO 65804-1105 |
| Practice Telephone | 4176785176 |
| Mailing Telephone | 4178309100 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2015002491 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 S HUDSON AVE |
| City | AURORA |
| State | MO |
| Zip Code | 65605-2362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180963 | Robert Marcus Causey | Family Medicine | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2006-01-30 |
| 1114495322 | Lauryn Murphy Young | Nurse Practitioner | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2018-11-06 |
| 1386112613 | Joy Bell | Nurse Practitioner | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2018-11-05 |
| 1609227933 | Susan Inman | Registered Nurse | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2016-06-28 |
| 1487078879 | Kelly Gill | Family Medicine | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2014-02-06 |
| 1972851897 | Victoria Verheyen | Nurse Practitioner | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2012-08-27 |
| 1598037814 | Thomas M. Doering | Physician Assistant | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2012-02-01 |
| 1770667925 | Keith A. Meyer | Family Medicine | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2006-10-24 |
| 1073603403 | Christie J. Hurt | Family Medicine | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2006-10-14 |
| 1164462602 | Bradford P Garner | Family Medicine | 550 S Hudson Ave, Aurora, MO 65605-2362 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1134609712 | Regional Services | Nurse Practitioner | 305 W Prospect St, Aurora, MO 65605 | 2018-08-14 |
| 1932545977 | Ozark Tri-county Health Care Consortium | Clinic/Center | 1810 South Carnation Dr., Aurora, MO 65605 | 2013-05-17 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1518241587 | Holly Lynn Wade | Counselor | 1119 S Elliot, Aurora, MO 65605 | 2011-10-07 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1740488147 | Marilyn Ruth Wachner | Social Worker | 1604 1 2 S Elliott, Aurora, MO 65605 | 2007-07-06 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| 1003994732 | Darren Gene Cook | Counselor | Lifecare Family Services, 112 S. Madison, Aurora, MO 65605 | 2006-11-01 |
| 1295878981 | Mercy Hospital Aurora | General Acute Care Hospital | 500 Porter Ave, Aurora, MO 65605 | 2007-02-14 |
| Find all providers in zip 65605 | ||||
| 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 |
|---|---|---|---|---|
| 1396344917 | Jesse Hines | Physician Assistant | 11945 E Cornell Cir, Aurora, CO 80014-3151 | 2020-10-23 |
| 1124632815 | Jessica Ballou | Physician Assistant | 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 | 2020-09-01 |
| 1134732373 | Brooke Schlachtenhaufen Owens | Physician Assistant | 22021 E Prentice Pl, Aurora, CO 80015-7516 | 2020-08-27 |
| 1346881109 | Kevin Fasing | Physician Assistant | 1635 Aurora Ct Ste F722, Aurora, CO 80045-2555 | 2019-10-03 |
| 1457914731 | Alison Henderson | Physician Assistant | 3680 S Biscay Ct, Aurora, CO 80013-3618 | 2019-04-22 |
| 1033678529 | Jenna Elyse Eisses | Physician Assistant | 2234 Kenyon Ct, Aurora, IL 60502-1393 | 2019-03-14 |
| 1386156339 | Eva Marie Doyle | Physician Assistant | 837 Hardin Ave, Aurora, IL 60506-4936 | 2017-10-31 |
| 1093244626 | Amanda Lynn Roche | Physician Assistant | 270 N Kingsway Dr, Aurora, IL 60506-4521 | 2017-06-07 |
| 1558899625 | Stacey Robyn Gundry | Physician Assistant | 13121 E 17th Ave # Ms 8414, Aurora, CO 80045-2535 | 2017-06-01 |
| 1568996486 | Hannah Griffin | Physician Assistant | 13123 E 16th Ave Ste 306-b, Aurora, CO 80045-7106 | 2017-04-18 |
| Find all providers in AURORA | ||||
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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.