MS. KATRINA MARGARET KEITHLEY (NPI# 1578932620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578932620 |
Entity Type | Individual |
Full Name | MS. KATRINA MARGARET KEITHLEY |
Credential | PA-C |
Practice Address |
9669 Kenton Ave Ste 203 Skokie IL 60076 |
Mailing Address |
9669 Kenton Ave Ste 203 Skokie IL 60076-1227 |
Practice Telephone | 8476796333 |
Mailing Telephone | 8476796333 |
Enumeration Date | 2015-09-18 |
Last Update Date | 2019-11-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 085006211 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 5601007532 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
17000 E 10 Mile Rd, Eastpointe, MI 480211263 | 5865635555 | |
9669 Kenton Ave Ste 203, Skokie, IL 60076 | 8476796333 |
Street Address |
9669 KENTON AVE STE 203 |
City | SKOKIE |
State | IL |
Zip Code | 60076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
1902291644 | Peter J. Waller | Family Medicine | 9650 Gross Point Rd. Suite 2900, Skokie, IL 60076 | 2015-03-31 |
Find all providers in zip 60076 |
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 |
---|---|---|---|---|
1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
1629695333 | Alli Joy Chemmachel | Physician Assistant | 4925 Dobson St, Skokie, IL 60077-2820 | 2020-06-29 |
1720109424 | Ian V Mackey | Physician Assistant | 9669 Kenton Ave Ste 209, Skokie, IL 60076-1226 | 2007-04-02 |
1750369914 | Thomas S Hans Jr. | Physician Assistant | 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 | 2006-01-06 |
1770112302 | Danielle Gomez | Physician Assistant | 9650 Gross Point Rd Ste 2900, Skokie, IL 60076-5006 | 2020-04-06 |
1710510391 | Michaela Rose Mackey | Physician Assistant | 9977 Woods Dr Ste 100, Skokie, IL 60077-1057 | 2020-02-21 |
1114557717 | Kevin J Lapp | Physician Assistant | 9650 Gross Point Rd, Skokie, IL 60076-5080 | 2020-01-22 |
1346888989 | Annie Zupan | Physician Assistant | 9977 Woods Dr, Skokie, IL 60077-1057 | 2019-12-13 |
1568003655 | Lauren Ashley Zaucha | Physician Assistant | 9650 Gross Point Rd., Skokie, IL 60076 | 2019-10-01 |
1497219380 | Kelly Pickering | Physician Assistant | 9650 Gross Point Rd Ste 2900, Skokie, IL 60076 | 2019-01-25 |
Find all providers in SKOKIE |
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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.