ALEXANDER JOHN KEKLIK (NPI# 1467061648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467061648 |
| Entity Type | Individual |
| Full Name | ALEXANDER JOHN KEKLIK |
| Credential | PA-C |
| Practice Address |
1 Padanaram Rd Danbury CT 06811-4836 |
| Practice Telephone | 2034568086 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 PADANARAM RD |
| City | DANBURY |
| State | CT |
| Zip Code | 06811-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427073071 | A&p Live Better, LLC | Durable Medical Equipment & Medical Supplies | 1 Padanaram Rd, Danbury, CT 06811-4836 | 2006-07-13 |
| 1821491218 | Oz Pariser | Physical Medicine & Rehabilitation | 1 Padanaram Rd, Danbury, CT 06811-4836 | 2014-09-30 |
| 1629360417 | Sandra Ellen Halbert | Pharmacist | 1 Padanaram Rd, Danbury, CT 06811-4836 | 2011-05-11 |
| 1457587552 | Tanesha K. Freeman | Social Worker | 1 Padanaram Rd, Ste 144b, Danbury, CT 06811-4889 | 2009-06-03 |
| 1730320474 | North Street Physical Medicine and Rehabilitation, PC | Physical Medicine & Rehabilitation | 1 Padanaram Rd, Danbury, CT 06811-4836 | 2009-03-10 |
| 1790902559 | Aspen Dental of Central Ct, PC | Dentist | 1 Padanaram Rd, Danbury, CT 06811-4836 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285361 | Domonique Danza | Massage Therapist | 34 Mill Plain Rd, Danbury, CT 06811 | 2019-09-20 |
| 1538683552 | Walgreen Co | Pharmacy | 113/115 Mill Plain Rd, Danbury, CT 06811 | 2017-08-01 |
| 1366980484 | Heather H Thebodo | Pharmacist | 47-49 Lake Avenue Extention, Danbury, CT 06811 | 2017-02-09 |
| 1851848824 | Ellen Lyall | Dental Hygienist | 6 Field Road, Danbury, CT 06811 | 2016-09-07 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1063757730 | Rabiya Ansari-johnston | Occupational Therapist | 1 Glen Hill Road, Danbury, CT 06811 | 2012-12-06 |
| 1407167851 | Appalachian Chiropractic and Wellness LLC | Chiropractor | 103 Mill Plain Road, Suite 1, Danbury, CT 06811 | 2010-06-30 |
| 1730395294 | David P Rentler | Psychologist | 33 and One Half Pembroke Rd, Danbury, CT 06811 | 2007-05-14 |
| 1770704074 | Loretta Marie Osik | Naturopath | One Maplewood Dr, Danbury, CT 06811 | 2007-05-02 |
| 1932227733 | Lorena Jean Tesbir | Counselor | 2 Glen Hill Road, Danbury, CT 06811 | 2007-03-27 |
| Find all providers in zip 06811 | ||||
| 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 |
|---|---|---|---|---|
| 1467051920 | Cynthia G Moreno | Physician Assistant | 76 Newtown Rd Ste C, Danbury, CT 06810-6265 | 2020-10-25 |
| 1699383612 | Corinne Niekrewicz | Physician Assistant | 111 Osborne St Ste 121, Danbury, CT 06810-6019 | 2020-07-15 |
| 1407360159 | Bianca Patel | Physician Assistant | 111 Osborne St., Danbury, CT 06810-4487 | 2017-11-16 |
| 1801245006 | Monique Asante | Physician Assistant | 76 Newtown Rd, Danbury, CT 06810-6265 | 2016-06-08 |
| 1841663150 | Jennifer Marie Jones | Physician Assistant | 157 Shelter Rock Rd, Unit 20, Danbury, CT 06810-7051 | 2015-11-09 |
| 1699820787 | Jens Erik Haerter | Physician Assistant | 57 North Street, Danbury Community Health Center, Danbury, CT 06810 | 2007-01-25 |
| 1104994516 | Dianna M Piazza | Physician Assistant | 109 Newtown Road, Danbury, CT 06810 | 2006-12-01 |
| 1396793857 | John F Baitinger | Physician Assistant | 33 Hospital Avenue, Danbury, CT 06810 | 2006-05-05 |
| 1568002012 | Emma G Hanrahan | Physician Assistant | 41 Germantown Rd, Danbury, CT 06810-4087 | 2020-01-13 |
| 1790326064 | Erin Mccann | Physician Assistant | 84 Hospital Ave, Danbury, CT 06810-6047 | 2019-10-08 |
| Find all providers in DANBURY | ||||
Please comment or provide details below to improve the information on ALEXANDER JOHN KEKLIK.
| 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.