BROOKE RUDASILL (NPI# 1619461910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619461910 |
| Entity Type | Individual |
| Full Name | BROOKE RUDASILL |
| Practice Address |
730 W Market St Lima OH 45801-4602 |
| Practice Telephone | 4192264310 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.005594RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
730 W MARKET ST |
| City | LIMA |
| State | OH |
| Zip Code | 45801-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844782 | Vincent Lee Yahl | Pharmacist | 730 W Market St, Attn: Pharmacy, Lima, OH 45801-4602 | 2005-07-11 |
| 1417562588 | Kendall Germann | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-09-15 |
| 1053926121 | Libby Nicole Stabler | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-09-15 |
| 1932717725 | Jordan Wade | Nurse Practitioner | 730 W Market St, Lima, OH 45801-4602 | 2020-07-17 |
| 1942828173 | Krista Leigh Shepherd | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-07-14 |
| 1588283006 | Adnan Ejupovic | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-14 |
| 1932728490 | John Paul Sevcik | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-14 |
| 1396374575 | Jarred Jones | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1164051355 | Lisa Mary Tran | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1922637479 | Vitaliy Kovalevych | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in LIMA | ||||
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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.