MRS. BRIDGETTE K POCOCK (NPI# 1659323020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659323020 |
| Entity Type | Individual |
| Full Name | MRS. BRIDGETTE K POCOCK |
| Credential | PA |
| Practice Address |
308 E Central Ave Andover KS 67002-8897 |
| Practice Telephone | 3167331331 |
| Practice Fax Number | 3167336846 |
| Mailing Telephone | 3167331331 |
| Mailing Fax Number | 3167336846 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15-00773 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PENDING | 05 |
| Street Address |
308 E CENTRAL AVE |
| City | ANDOVER |
| State | KS |
| Zip Code | 67002-8897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583649 | Ashli J Benjamin | Physician Assistant | 308 E Central Ave, Andover, KS 67002-5605 | 2006-01-19 |
| 1679067565 | Mid-america Orthopedics LLC | Durable Medical Equipment & Medical Supplies | 308 E Central Ave, Andover, KS 67002 | 2018-06-14 |
| 1366895922 | Drs Todd & Giannetti Eyecare of Andover LLC | Optometrist | 308 E Central Ave, Andover, KS 67002-8897 | 2016-07-19 |
| 1417358672 | Jamie Marie Geier | Physician Assistant | 308 E Central Ave, Andover, KS 67002-5605 | 2014-09-08 |
| 1477712065 | John Wesley Ayres | Physical Therapist | 308 E Central Ave, Andover, KS 67002-8897 | 2008-06-09 |
| 1164442844 | Matthew G Meschke | Family Medicine | 308 E Central Ave, Andover, KS 67002-8897 | 2006-07-19 |
| 1093741928 | Jason P Camblin | Physical Therapist | 308 E Central Ave, Andover, KS 67002-8897 | 2006-06-23 |
| 1366403263 | Stephen F Lemons | Family Medicine | 308 E Central Ave, Andover, KS 67002-8897 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262707 | Rachel Marie Porter | Nurse Practitioner | Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 | 2020-07-13 |
| 1033535695 | Michael L Ray | Chiropractor | 1145 N Andover Rd Ste 109, Andover, KS 67002 | 2014-03-06 |
| 1225372949 | Lisa Hua Lee | Physical Therapy Assistant | 811 N Crescent Lakes Cir, Andover, KS 67002 | 2012-11-19 |
| 1689992752 | Andover Senior Care, LLC | Skilled Nursing Facility | 224 E Central Ave, Andover, KS 67002 | 2010-05-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1205929957 | Sitha Uy Miller | Internal Medicine | 943 N. Andover Road, Andover, KS 67002 | 2006-10-02 |
| 1275644650 | Shala Renee Holman | Physician Assistant | 1124 W. 21st Street, Andover, KS 67002 | 2006-08-31 |
| 1497869168 | Allan Michael Weilert | Chiropractor | 202 E Rhondda St, Ste A, Andover, KS 67002 | 2006-08-18 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
| Find all providers in zip 67002 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583649 | Ashli J Benjamin | Physician Assistant | 308 E Central Ave, Andover, KS 67002-5605 | 2006-01-19 |
| 1164072674 | Hannah Koons | Physician Assistant | 20 Main St, Andover, NY 14806-9303 | 2019-09-17 |
| 1386073393 | Meghan Chase | Physician Assistant | 6 Windsor St, Andover, MA 01810-2605 | 2013-11-11 |
| 1528493608 | Emily N Regehr | Physician Assistant | 105 S Andover Rd, Ste D, Andover, KS 67002-7920 | 2013-09-09 |
| 1316383185 | Teresa M Jesse | Physician Assistant | 149 E Main St, Andover, OH 44003-9479 | 2013-05-20 |
| 1245420710 | Mai See Thao | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2007-07-30 |
| 1356485379 | Melissa Bergeron | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
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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.