BROEGAN SAUTTER (NPI# 1457859381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457859381 |
| Entity Type | Individual |
| Full Name | BROEGAN SAUTTER |
| Credential | PA-C |
| Practice Address |
741 Scholl Rd Mansfield OH 44907-1571 |
| Mailing Address |
155 Fitting Ave Bellville OH 44813-1113 |
| Practice Telephone | 4194561717 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
741 SCHOLL RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487669222 | The Center for Individual and Family Services, Inc. | Clinic/Center | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2006-07-30 |
| 1497355150 | Alisha B Edgington | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-30 |
| 1023618097 | Annshalea N Yelton | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-29 |
| 1174122188 | The Center for Individual & Family Services, Inc. | Clinic/Center | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-21 |
| 1336747955 | Sarah R Rager | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-15 |
| 1790383305 | Skye M. Hersman | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-15 |
| 1770190704 | Kacey D Gardner | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-24 |
| 1851908917 | Marcia Robbins | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-23 |
| 1467068718 | Merideth A Etzwiler | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-22 |
| 1588270755 | Aimee M. Young-brissell | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447602 | Emily N Keller | Physician Assistant | 335 Glessner Ave Fl Mob2, Mansfield, OH 44903-2269 | 2017-10-11 |
| 1982712345 | Brandy Piacentino | Physician Assistant | 1947 Harrington Memorial Rd, Mansfield, OH 44903-8049 | 2006-08-27 |
| 1275546327 | Marie Moroschok | Physician Assistant | 40 W Wellsboro St, Mansfield Laurel Health Center, Mansfield, PA 16933-1411 | 2006-08-13 |
| 1619955457 | Lawrence William Gess Jr. | Physician Assistant | 2364 Highway 287 N, Suite 115, Mansfield, TX 76063-9208 | 2006-01-03 |
| 1740736099 | Kyla Crispe | Physician Assistant | 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 | 2016-08-28 |
| 1962880328 | Danny Allen Hall | Physician Assistant | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2015-05-18 |
| 1083855936 | Tzietal Gail Davidson | Physician Assistant | 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063-3674 | 2009-03-23 |
| 1669659363 | Tony Paul | Physician Assistant | 130 Jefferson St, Mansfield, LA 71052-2602 | 2008-01-24 |
| 1144366139 | Ashlee Elaine Braziel | Physician Assistant | 2700 E Broad St, Mansfield, TX 76063-5899 | 2007-01-29 |
| 1437254653 | Melissa M Irwin | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-09-13 |
| Find all providers in MANSFIELD | ||||
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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.