DR. JERRY R POWELL II (NPI# 1619958378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619958378 |
| Entity Type | Individual |
| Full Name | DR. JERRY R POWELL II |
| Credential | MD |
| Practice Address |
1400 E 9th St Rochester IN 46975 |
| Mailing Address |
1400 E 9th St Rochester IN 46975-8937 |
| Practice Telephone | 5742241048 |
| Practice Fax Number | 5742241103 |
| Mailing Telephone | 5742241048 |
| Mailing Fax Number | 5742241103 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 01053633A | IN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 01053633 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200231510 | 05 | |
| IN | 200001940A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 239 Ash St, Tipton, IN 460721752 | 7656758733 | 7656757121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769054 | Jerry Richard Powell | Pharmacist | 3595 N State Route 560, Urbana, OH 43078-9367 | 2020-10-26 |
| 1740376409 | Jerry Dean Powell | Counselor | 916 Arsenal Ave, Fayetteville, NC 28305-5328 | 2006-10-04 |
| 1801896543 | Jerry Allen Powell | Radiology | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2005-07-22 |
| 1669405536 | Jerry Lamon Powell | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2006-07-07 |
| 1780666198 | Jerry Sherman Powell | Internal Medicine | 4501 X St, Sacramento, CA 95817-2229 | 2005-11-19 |
| Street Address |
1400 E 9TH ST |
| City | ROCHESTER |
| State | IN |
| Zip Code | 46975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058189 | John E Nile | Surgery | 1400 E 9th St, Rochester, IN 46975-8931 | 2005-07-26 |
| 1821615626 | Sarah Wild | Nurse Anesthetist, Certified Registered | 1400 E 9th St, Rochester, IN 46975-8931 | 2020-06-29 |
| 1215569470 | Woodlawn Hospital | Surgery | 1400 E 9th St, Rochester, IN 46975-8931 | 2020-02-06 |
| 1699338574 | Woodlawn Hospital | Clinic/Center | 1400 E 9th St, Rochester, IN 46975-8931 | 2019-04-17 |
| 1629547674 | Bradley Marshaall Rogers | Physical Therapist | 1400 E 9th St, Rochester, IN 46975-8931 | 2018-11-20 |
| 1477970978 | Kelsey Heckaman | Nurse Practitioner | 1400 E 9th St, Rochester, IN 46975-8931 | 2014-03-21 |
| 1922430826 | Holly K Cumberland | Registered Nurse | 1400 E 9th St, Rochester, IN 46975 | 2013-08-01 |
| 1932542263 | Brian Neal | Emergency Medicine | 1400 E 9th St, Rochester, IN 46975 | 2013-04-17 |
| 1245464312 | Woodlawn Hospital | Surgery | 1400 E 9th St, Rochester, IN 46975-8931 | 2009-05-05 |
| 1235380742 | Laura L Johnson | Nurse Practitioner | 1400 E 9th St, Rochester, IN 46975-8931 | 2008-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789038 | Caitlin Barts-nunez | Dentist | 1360 E. 4th Street, Rochester, IN 46975 | 2016-06-02 |
| 1093117061 | Brittainey Neese | Pharmacist | 2240 E. Peace Tree Village, Rochester, IN 46975 | 2014-09-22 |
| 1437415460 | Benjamin O Adebayo | Obstetrics & Gynecology | 1400 East 9th S, Rochester, IN 46975 | 2012-04-04 |
| 1679779367 | Hope Hospice, Inc. | Home Health | 2316 E State Rd 14, Rochester, IN 46975 | 2007-06-21 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1134297930 | Timothy Ravencroft | Dentist | 115 E 7th Street, Rochester, IN 46975 | 2006-12-01 |
| 1720172349 | Patricia J Heiden | Social Worker | 618 E. Ninth St., Rochester, IN 46975 | 2006-10-03 |
| 1760583355 | Julius Salazar Sitjar | Internal Medicine | 2671 Ft Wayne Rd, Rochester, IN 46975 | 2006-09-26 |
| 1922016260 | Hubert Ray Hazen | Dentist | 1329 Main Street, Rochester, IN 46975 | 2006-08-03 |
| 1366401812 | Cynthia A Laycock | Optometrist | 2260 Main St., Rochester, IN 46975 | 2006-03-22 |
| Find all providers in zip 46975 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467090761 | Community Medical Services, PC | Family Medicine | Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 | 2019-12-17 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1982132635 | Stephanie Parvan | Family Medicine | 1100 Long Pond Rd Ste 250, Rochester, NY 14626-1186 | 2017-05-25 |
| 1659804169 | Natasha Vadera | Family Medicine | Highland Family Medicine 777 S Clinton Ave, Rochester, NY 14642-0001 | 2017-04-11 |
| 1467804203 | Izabela Teresa Subczynska | Family Medicine | 454 E Broad St Ste 100, Rochester, NY 14607-1724 | 2016-07-05 |
| 1720433345 | Jerry Kong | Family Medicine | 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 | 2016-05-02 |
| 1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1851705628 | Resika Ubayawardena | Family Medicine | 222 Alexander St, Ste 5000, Genesee Internal Medicine At Alexander Park, Rochester, NY 14607-4039 | 2014-06-19 |
| 1942613344 | Lishan Jhanealle Walker | Family Medicine | 10 S Pointe Lndg Ste 210, Rochester, NY 14606-3481 | 2014-06-04 |
| Find all providers in ROCHESTER | ||||
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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.