KATELYN ROSE MOELLER


Address: 251 Marketplace Dr # 1, Freeburg, IL 62243-4082
Phone: 6185390067

KATELYN ROSE MOELLER (NPI# 1588145601) 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) 1588145601
Entity Type Individual
Full Name KATELYN ROSE MOELLER
Credential PA
Practice Address 251 Marketplace Dr # 1
Freeburg
IL 62243-4082
Mailing Address 3708 Round Hill Rd Apt 11
Swansea
IL 62226-1221
Practice Telephone 6185390067
Enumeration Date 2018-08-27
Last Update Date 2018-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 251 MARKETPLACE DR # 1
City FREEBURG
State IL
Zip Code 62243-4082

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225351703 Apex Physical Therapy Physical Therapist 251 Marketplace Center, Freeburg, IL 62243 2010-03-11
1346308178 Debra Ann Biekert Speech-Language Pathologist 934 Bay Pointe Dr, Freeburg, IL 62243 2006-12-05
1831289750 Groceries of Southern Illinois, LLC Pharmacy 369 Marketplace Dr, Freeburg, IL 62243 2006-10-13
1255316725 Vidya Deshpande Pathology 45 Sheffield Drive, Belleville, IL 62243 2005-12-07
1619537867 Angela Kay Kern Nurse Practitioner 251 Marketplace Dr, Freeburg, IL 62243 2019-06-19
1386961464 Jamie L Hahne Massage Therapist 102 N State St, Freeburg, IL 62243-1214 2010-04-28
1982600375 Jannell W Vetter Physical Therapist 102 N State St, Freeburg, IL 62243-1246 2005-06-22
1902030927 Matthew R. Leonard, S.c. Chiropractor 102 N State St, Suite A, Freeburg, IL 62243-1246 2009-05-05
1609995687 Burl Wayne Hand IIi Dentist 201b W High St, Freeburg, IL 62243-1313 2007-03-28
1578727103 Occupational Health Centers of Illinois PC Clinic/Center 501 W Apple St, Freeburg, IL 62243-1389 2008-07-13
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1770120222 Alvina Shaikh Physician Assistant 4009 Warren Ave, Bellwood, IL 60104-2066 2019-12-03
1457997561 Jasleen Mohini Singh Physician Assistant 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 2019-11-24
1538705272 Bethany Mae Frisby Physician Assistant 8630 W Golf Rd, Niles, IL 60714-5600 2019-11-18
1134761984 Ella-marie Rakowski Physician Assistant 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 2019-10-14
1467001859 Timothy Omotayo Adesanya Physician Assistant Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 2019-09-09
1518514066 Victoria Moore Physician Assistant 979 W Main St, West Dundee, IL 60118-2088 2019-08-20
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Competitor

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City FREEBURG
Zip Code 62243

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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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