KERRY ANN STEDKE


Address: 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851
Phone: 4192272727

KERRY ANN STEDKE (NPI# 1558542522) 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) 1558542522
Entity Type Individual
Full Name KERRY ANN STEDKE
Credential P.A.
Practice Address 1005 Bellefontaine Ave
Suite 175
Lima
OH 45804-2851
Practice Telephone 4192272727
Mailing Telephone 4192272727
Enumeration Date 2007-11-19
Last Update Date 2018-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 50-002690 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0071002 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
770 W High St Ste 400, Lima, OH 458015917 4192272727 4192241589

Office Location

Street Address 1005 BELLEFONTAINE AVE
SUITE 175
City LIMA
State OH
Zip Code 45804-2851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053313171 Marcus F Cox Surgery 1005 Bellefontaine Ave, Suite 260, Lima, OH 45804-2851 2005-08-10
1003196114 Stacy Jo Klass Nurse Practitioner 1005 Bellefontaine Ave, Suite 100, Lima, OH 45804-2851 2011-08-19
1710121132 Nasim Mastouri Internal Medicine 1005 Bellefontaine Ave, Suite 230, Lima, OH 45804-2851 2009-04-29
1871746735 Cynthia Grace Trent Nurse Practitioner 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 2008-10-23
1215109145 Alliance for Women's Health Inc Obstetrics & Gynecology 1005 Bellefontaine Ave, Suite 150, Lima, OH 45805 2008-04-01
1457565061 Margarite Marie Angelopoulos Pediatrics 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 2007-05-10
1285789362 Women's Health for Life, Inc. Obstetrics & Gynecology 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 2007-01-25
1497806897 Jennifer Fern Niesen Obstetrics & Gynecology 1005 Bellefontaine Ave, Suite 175, Lima, OH 45804-2851 2007-01-15
1669521423 Judith E Rigoni Pediatrics 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 2007-01-10
1730247636 Daniel Michael Callisto Pediatrics 1005 Bellefontaine Ave, Suite 245, Lima, OH 45804-2851 2006-12-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134729817 Luke Holliday Pharmacist Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 2020-10-30
1306482393 Olympia Monik Johnson Case Manager/Care Coordinator 799 S. Main St, Lima, OH 45804 2019-11-25
1982260139 Jenna Renee Warnecke Speech-Language Pathologist Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 2019-05-14
1942728282 Premier Care of Ohio, LLC. Community/Behavioral Health 2727 St. Johns Rd, Ste D, Lima, OH 45804 2017-09-07
1093250078 Gevette Love Counselor 311 E. Market St., Lima, OH 45804 2016-12-29
1134595416 Rewa A Banks Nurse Practitioner 2895 Harding Hwy Ste C, Lima, OH 45804 2015-08-20
1295148195 Adaptive Medical Marketing, Inc Durable Medical Equipment & Medical Supplies 1378 Bellefontaine Ave, Lima, OH 45804 2014-06-09
1265771869 Laura B Hile Nurse Practitioner 1875 South Dixie Highway, Lima, OH 45804 2013-02-04
1184960593 Jenna L Kimmel Nurse Practitioner 799 S. Main St., Lima, OH 45804 2012-12-13
1437398054 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2450 Mandolin Drive, Lima, OH 45804 2009-02-05
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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
1285255596 Rachael Lauren Zimmerman Physician Assistant 120 Quail Dr, Lima, OH 45806-1616 2020-04-28
1316986482 Eric E Miller Physician Assistant 720 W Market St, Lima, OH 45801-4602 2006-06-05
1184616179 Jennifer L Tobin Physician Assistant 1005 Bellefontaine Ave Ste 125, Lima, OH 45804-2893 2005-08-17
1760018626 Sirena Renee Kitz Physician Assistant 1001 Bellefontaine Ave, Lima, OH 45804-2800 2020-03-22
1538701958 Caleb M Barrera Physician Assistant 730 W Market St, Lima, OH 45801-4602 2019-10-17
1922649912 Cory Robert Heuerman Physician Assistant 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2019-10-01
1295376366 Melissa M Scott Physician Assistant 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 2019-09-30
1033760244 Cameron Pappa Physician Assistant 830 W High St Ste 360, Lima, OH 45801-3985 2019-09-28
1871142927 Morgan Nicole Dewitt Physician Assistant 770 W High St Ste 300, Lima, OH 45801-5914 2019-09-10
1295397958 Kayla Vonseggern Physician Assistant 730 W Market St, Lima, OH 45801-4602 2019-07-02
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City LIMA
Zip Code 45804

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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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