PATRICIA M ACKLEY (NPI# 1578555686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578555686 |
| Entity Type | Individual |
| Full Name | PATRICIA M ACKLEY |
| Other Name | PATRICIA L RUSSELL |
| Credential | PA-C |
| Practice Address |
4412 Kell Blvd Wichita Falls TX 76309-4719 |
| Practice Telephone | 9406960011 |
| Practice Fax Number | 9406962248 |
| Mailing Telephone | 9406960011 |
| Mailing Fax Number | 9406965440 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2016-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04420 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4412 KELL BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76309-4719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836140 | Allyn Lawrence Mcmillan | Nurse Practitioner | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2018-09-27 |
| 1942793864 | Harmony Integrative Medicine Clinics, Pllc | Clinic/Center | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2018-06-14 |
| 1811304090 | Kell West Family Practice Clinic | Clinic/Center | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2014-07-19 |
| 1013167212 | Casey Joseph Humphrey | Physician Assistant | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2008-09-24 |
| 1154339471 | Finbar Francis Woitalla | Family Medicine | 4412 Kell Blvd, Family Practice, Wichita Falls, TX 76309-4719 | 2006-08-03 |
| 1417933813 | Lee Edward Ackley | Physician Assistant | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568093037 | North Central Texas Community Health Care Center Inc. | Clinic/Center | 2412 Avenue H, Wichita Falls, TX 76309 | 2020-02-03 |
| 1780814301 | Bestcare Specialty Services, Inc. | Home Health | 3908 Kell Blvd. West, Apt. 236, Wichita Falls, TX 76309 | 2009-07-16 |
| 1316066723 | James Royce Green | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-03-28 |
| 1972604569 | Internal Medicine Associates | Internal Medicine | 1413 Tanglewood Dr, Wichita Falls, TX 76309 | 2006-09-26 |
| 1669888061 | Tools for Success Coaching, Counseling & Consulting Pllc | Registered Nurse | 3100 10th St, Wichita Falls, TX 76309 | 2014-07-07 |
| 1982897724 | Rr Recovery, LLC | Substance Abuse Rehabilitation Facility | 2501 Taylor St, Wichita Falls, TX 76309 | 2007-08-24 |
| 1932399581 | Erica Coe Goss | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-07-30 |
| 1831316694 | Michael W. Spiller Jr. | Dentist | 2200 Kell Blvd., Wichita Falls, TX 76309 | 2007-04-20 |
| 1417126756 | Patricia Nau Kennedy | Counselor | 1601 Brazos St, Wichita Falls, TX 76309-1423 | 2008-02-20 |
| 1245473883 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 3811 Seymour Hwy, Wichita Falls, TX 76309-1601 | 2009-04-13 |
| Find all providers in zip 76309 | ||||
| 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 |
|---|---|---|---|---|
| 1144765330 | Christy S Funk | Physician Assistant | 901 Indiana Ave Ste 540, Wichita Falls, TX 76301-6734 | 2016-12-27 |
| 1982896254 | George Kennie Phillis | Physician Assistant | 1300 7th Street, Suite 110, Wichita Falls, TX 76301-2305 | 2007-08-10 |
| 1982612149 | Hiram Jeffrey Bollinger | Physician Assistant | 1800 7th St, Wichita Falls, TX 76301-4204 | 2006-08-04 |
| 1922066091 | Robert Edward Powell | Physician Assistant | 5013 Whisper Wind Dr, Wichita Falls, TX 76310-3075 | 2006-05-01 |
| 1063497790 | Richard Kirk Higgins | Physician Assistant | 1700 3rd St, Wichita Falls Employee Family Health Center, Wichita Falls, TX 76301-2113 | 2005-12-15 |
| 1982171914 | Kenneth James Jenkins Jr. | Physician Assistant | 1631 11th St Unit B, Wichita Falls, TX 76301-4332 | 2018-10-29 |
| 1326520271 | Megan Eckman | Physician Assistant | 1301 3rd St, Wichita Falls, TX 76301 | 2018-09-06 |
| 1235610700 | Stephen Christopher Poe | Physician Assistant | 1600 11th St, Wichita Falls, TX 76301-4300 | 2018-08-23 |
| 1831696723 | Sayeh Sadeghpour | Physician Assistant | 4327 Barnett Rd, Wichita Falls, TX 76310-2303 | 2018-04-09 |
| 1922550037 | Texas Em-i Medical Services Pa | Physician Assistant | 5420 Kell Blvd, Wichita Falls, TX 76310-1610 | 2016-10-25 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76309 |
Please comment or provide details below to improve the information on PATRICIA M ACKLEY.
| 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.