BRADLEY ALLEN STATEN


Address: 1025 Maine St, Quincy, IL 62301-4038
Phone: 2172226550

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 085007720 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1025 MAINE ST
City QUINCY
State IL
Zip Code 62301-4038

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in QUINCY

Competitor

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City QUINCY
Zip Code 62301

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Dataset Information

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.

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