ELLA MARIE CALLISON (NPI# 1497069694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497069694 |
| Entity Type | Individual |
| Full Name | ELLA MARIE CALLISON |
| Credential | PA-C |
| Practice Address |
1611 S Baltimore St Ste A Kirksville MO 63501 |
| Mailing Address |
1611 S Baltimore St Ste A Kirksville MO 63501-4519 |
| Practice Telephone | 6606657575 |
| Practice Fax Number | 6606657576 |
| Mailing Telephone | 6606657575 |
| Mailing Fax Number | 6606657576 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2012008168 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085.003797 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1497069694 | 05 |
| Street Address |
1611 S BALTIMORE ST STE A |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162390 | Ann Marie Bibbs | Registered Nurse | 1611 S Baltimore St Ste A, Kirksville, MO 63501-4519 | 2020-01-06 |
| 1669018321 | Morgan Antonette Meyer | Marriage & Family Therapist | 1611 S Baltimore St Ste A, Kirksville, MO 63501-4519 | 2019-11-18 |
| 1588149108 | Shelli Renae Slaughter | Registered Nurse | 1611 S Baltimore St Ste A, Kirksville, MO 63501-4519 | 2018-09-28 |
| 1235645151 | Courtney R Nichols | Registered Nurse | 1611 S Baltimore St Ste A, Kirksville, MO 63501-4519 | 2017-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1245569029 | Benjamin L Schrant | Anesthesiology | 315 S. Osteopathy, Kirksville, MO 63501 | 2009-12-08 |
| Find all providers in zip 63501 | ||||
| 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 |
|---|---|---|---|---|
| 1720606023 | Ripley Emergency Group, LLC | Physician Assistant | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-13 |
| 1760939474 | Andrew Weber | Physician Assistant | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2016-09-10 |
| 1023563632 | Franchesca L Cook | Physician Assistant | 1506 Crown Dr, Kirksville, MO 63501-2553 | 2016-08-24 |
| 1952784373 | Gerrad Winn Bard | Physician Assistant | 1611 S Baltimore St, Kirksville, MO 63501-4536 | 2015-07-02 |
| 1063817435 | Tyler O'neil Eschbach | Physician Assistant | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2014-10-28 |
| 1447651716 | Lauren M Nolke | Physician Assistant | 1611 S Baltimore St, Kirksville, MO 63501-4536 | 2014-09-05 |
| 1154699650 | Adair Emergency Group LLC | Physician Assistant | 315 S Osteopathy St, Kirksville, MO 63501-6401 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779341 | Andrew Hecht | Physician Assistant | 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 | 2020-10-30 |
| 1396352860 | Alexis Lindsey | Physician Assistant | 5629 Bischoff Ave, Saint Louis, MO 63110-2929 | 2020-09-28 |
| 1194334094 | Olivia Faeth Langley | Physician Assistant | 507 Kenilworth Ln, Ballwin, MO 63011-2433 | 2020-07-27 |
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1942824339 | Jett Elena Mcguire | Physician Assistant | 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 | 2020-06-02 |
| 1356965602 | Katherine Anne Hill | Physician Assistant | 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 | 2020-06-02 |
| 1922629559 | Tiffany Nuno | Physician Assistant | 621 Tipton St, Sullivan, MO 63080-2152 | 2020-05-06 |
| 1477174944 | Sarah Christenson | Physician Assistant | 4515 Walnut St Apt 221d, Kansas City, MO 64111-7731 | 2020-05-06 |
| 1326669516 | Kayla Bergmann | Physician Assistant | 58 W Glendale Rd, Saint Louis, MO 63119-4054 | 2020-04-29 |
| 1962023341 | Kaitlin Nicole Sutten | Physician Assistant | 6711 Nw Evelyn St, Kansas City, MO 64151-2115 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.