WILLIARD MAZHAWIDZA (NPI# 1477923084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477923084 |
| Entity Type | Individual |
| Full Name | WILLIARD MAZHAWIDZA |
| Credential | PA-C |
| Practice Address |
1301 Pleasant Valley Rd Suite 201 Owensboro KY 42303-9774 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2704177500 |
| Practice Fax Number | 2704177529 |
| Mailing Telephone | 2704177500 |
| Mailing Fax Number | 2704177529 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2040 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2040 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100366870 | 05 |
| Street Address |
1301 PLEASANT VALLEY RD SUITE 201 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550663 | David P Russell | Urology | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2005-07-01 |
| 1588280713 | Mary Teresa Jenkins | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2020-06-23 |
| 1831710094 | Sarah Knop | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2020-04-29 |
| 1972072460 | Alyssa Hope Johnson | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2018-11-14 |
| 1043754815 | Brittany A. Davidson | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 401, Owensboro, KY 42303-9774 | 2016-12-13 |
| 1205286556 | Lauren Mahoney | Physician Assistant | 1301 Pleasant Valley Rd, Suite 500b, Owensboro, KY 42303-9774 | 2016-06-17 |
| 1477938280 | Kerri Booker | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 500d, Owensboro, KY 42303-9774 | 2015-07-22 |
| 1538541198 | Maghan Fares | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2015-06-19 |
| 1386024750 | Benjamin T. Rhodes | Physician Assistant | 1301 Pleasant Valley Rd, Ste 202, Owensboro, KY 42303-9774 | 2015-06-01 |
| 1437553724 | Crystal Lynn Heady | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 404, Owensboro, KY 42303 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| 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 |
|---|---|---|---|---|
| 1992292288 | Owensboro Health Medical Group Inc | Physician Assistant | 2235 Mayfair Dr, Owensboro, KY 42301-4519 | 2018-04-23 |
| 1134649783 | Jeffrey Brown | Physician Assistant | 2200 E Parrish Ave Ste 100, Owensboro, KY 42303-1449 | 2017-06-25 |
| 1215172721 | Kirsten M Ahnell | Physician Assistant | 2211 Mayfair Dr Ste 102, Owensboro, KY 42301-4569 | 2008-12-12 |
| 1831124908 | Julie Salisbury | Physician Assistant | 2609 New Hartford Rd Ste 1, Owensboro, KY 42303-1316 | 2006-07-11 |
| 1497754279 | Amanda D. Murphy | Physician Assistant | 1102 Triplett St, Ste. 1000, Owensboro, KY 42303-3104 | 2005-07-14 |
| 1386261089 | Trevor Warfield | Physician Assistant | 2821 New Hartford Rd, Owensboro, KY 42303-1320 | 2020-06-29 |
| 1841822327 | Deaconess Hospital Inc | Physician Assistant | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2020-02-12 |
| 1811535248 | Jacquelyn N Lohmann | Physician Assistant | 1301 Pleasant Valley Rd Ste 404, Owensboro, KY 42303-9774 | 2019-12-17 |
| 1114569670 | Nicholas Lee Morris | Physician Assistant | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2019-10-16 |
| 1437707478 | Ethan James Hall | Physician Assistant | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2019-09-03 |
| Find all providers in OWENSBORO | ||||
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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.