BRADLEY ALLEN STATEN (NPI# 1477178820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477178820 |
Entity Type | Individual |
Full Name | BRADLEY ALLEN STATEN |
Credential | PA-C |
Practice Address |
1025 Maine St Quincy IL 62301-4038 |
Practice Telephone | 2172226550 |
Mailing Telephone | 2172226550 |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-06-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 085007720 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1025 MAINE ST |
City | QUINCY |
State | IL |
Zip Code | 62301-4038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205833860 | Don Manarang | Family Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2005-06-28 |
1518571546 | Amy E Durst | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2020-09-08 |
1316586613 | Shari W Robesky | Social Worker | 1025 Maine St, Quincy, IL 62301-4038 | 2020-01-03 |
1154968675 | Erica A Fitzgerald | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2019-12-03 |
1366088007 | Paul D Warning | Counselor | 1025 Maine St, Quincy, IL 62301-4096 | 2019-11-18 |
1457902884 | Alison J Simmons | Occupational Therapist | 1025 Maine St, Quincy, IL 62301-4096 | 2019-09-26 |
1841847464 | Sarah J Thacker | Registered Nurse | 1025 Maine St, Quincy, IL 62301-4096 | 2019-08-19 |
1740832252 | Olivia P Rees | Dietitian, Registered | 1025 Maine St, Quincy, IL 62301-4096 | 2019-07-15 |
1386206795 | Luke A Ellerman | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2019-07-05 |
1619535838 | Kaitlyn M Phillips | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2019-06-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
Find all providers in zip 62301 |
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 |
---|---|---|---|---|
1053928028 | Amy Christine Vayda | Physician Assistant | 30 Harris St, Quincy, MA 02169-1606 | 2020-09-24 |
1902416860 | Aaron V Tran | Physician Assistant | 64 Robertson St, Quincy, MA 02169-1217 | 2020-08-05 |
1235747874 | Hang I Lam | Physician Assistant | 133 Phipps St, Quincy, MA 02169-6611 | 2020-07-20 |
1043837776 | Sharon Chia | Physician Assistant | 26 Euclid Ave, Quincy, MA 02169-1904 | 2020-06-29 |
1154954238 | Shirley Ngai | Physician Assistant | 8 Miller Stile Rd Apt 3, Quincy, MA 02169-5434 | 2020-02-18 |
1528603214 | Taylor Pare Laramee | Physician Assistant | 45 Oval Rd Apt 8, Quincy, MA 02170-3819 | 2019-11-17 |
1730549197 | Abby Nicole Picard | Physician Assistant | 300 Congress St Ste 408, Quincy, MA 02169-0907 | 2016-02-29 |
1114312881 | Eliana Green | Physician Assistant | 178 Lasalle Leffall Dr, Quincy, FL 32351-5278 | 2015-03-31 |
1477828150 | Mary Grace F Gorospe | Physician Assistant | 70 Chapman St Apt 3, Quincy, MA 02170-2754 | 2012-03-14 |
1336410398 | Jie Chen | Physician Assistant | 500 Congress St Ste B1, Quincy, MA 02169-0917 | 2012-01-23 |
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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.