MISS REBECCA J BADACH (NPI# 1659542165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659542165 |
| Entity Type | Individual |
| Full Name | MISS REBECCA J BADACH |
| Credential | PA |
| Practice Address |
55 Carlton St Uga, Univeristy Health Center Athens GA 30602-1755 |
| Practice Telephone | 7065428636 |
| Practice Fax Number | 7065420214 |
| Mailing Telephone | 7065428636 |
| Mailing Fax Number | 7065420214 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2009-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | 004713 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30332876 | 05 |
| Street Address |
55 CARLTON ST UGA, UNIVERISTY HEALTH CENTER |
| City | ATHENS |
| State | GA |
| Zip Code | 30602-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232012 | Aimee T. Martin | Emergency Medicine | 55 Carlton St, Athens, GA 30602-1503 | 2005-11-18 |
| 1386297877 | Elizabeth Kindamo | Dietitian, Registered | 55 Carlton St, Athens, GA 30602-1503 | 2019-07-23 |
| 1760035257 | Staci Belcher | Dietitian, Registered | 55 Carlton St, Athens, GA 30602-1503 | 2019-07-23 |
| 1679000319 | Whitni Mcconnell | Dietitian, Registered | 55 Carlton St, University Health Center, Athens, GA 30602-1755 | 2017-05-12 |
| 1942748397 | University Health Center, University of Georgia | Clinic/Center | 55 Carlton St, Athens, GA 30602-1755 | 2017-02-06 |
| 1649675943 | Elizabeth Cheely | Social Worker | 55 Carlton St, Athens, GA 30602-1503 | 2014-10-29 |
| 1942635636 | Lila Grisar | Social Worker | 55 Carlton St, Athens, GA 30602-1755 | 2013-09-12 |
| 1548601214 | Austin Shedden | Psychologist | 55 Carlton St, Athens, GA 30602-1755 | 2013-07-10 |
| 1578814240 | Stevie Tabor Stigler | Counselor | 55 Carlton St, Athens, GA 30602-1503 | 2012-09-21 |
| 1053673566 | Sandrine M Bosshardt | Psychologist | 55 Carlton St, Athens, GA 30602-1503 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380719 | Courtney Vickery | Dietitian, Registered | Dw Brooks Dr, Athens, GA 30602 | 2020-06-12 |
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| 1902008188 | A. Michele Lease | Psychologist | 630 Aderhold Hall, University of Georgia, Athens, GA 30602 | 2007-06-01 |
| 1992881841 | Uga Speech and Hearing | Audiologist | 593 Aderhold Hall, Athens, GA 30602 | 2006-10-31 |
| 1437702453 | Anna Catherine Jessup | Specialist/Technologist | 330 River Rd, Athens, GA 30602 | 2019-07-18 |
| 1598072845 | Kendra Cordero Nelson | Physical Therapist | 370 River Road, Athens, GA 30602 | 2010-09-08 |
| 1104013150 | Kellie L Bauer | Speech-Language Pathologist | 593 Aderhold Hall, University of Georgia Speech and Hearing Clinic, Athens, GA 30602 | 2007-10-03 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1942852835 | Megha Danielle Sequeira | Specialist/Technologist | 330 Ramsey Road, Athens, GA 30602-0001 | 2019-07-11 |
| 1124688650 | Earl R. Cooper | Specialist/Technologist | 330 River Road 371 Ramsey Center 371 Ramsey Center, Athens, GA 30602-0001 | 2019-06-17 |
| Find all providers in zip 30602 | ||||
| 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 |
|---|---|---|---|---|
| 1386261162 | Kayla Elizabeth Moore | Physician Assistant | 1477 Cotton Hollow Rd, Athens, PA 18810-7769 | 2020-06-29 |
| 1053934844 | William Aaron Retterbush | Physician Assistant | 250 W Broad St Apt 624, Athens, GA 30601-4817 | 2020-05-27 |
| 1689219552 | Katie Rhea Collins | Physician Assistant | 2400 Denso Dr, Athens, TN 37303-7835 | 2019-11-14 |
| 1538535984 | Tina Beatty | Physician Assistant | 146 Parks Hall, Athens, OH 45701-1359 | 2015-08-19 |
| 1811325673 | Janna Leigh Baker | Physician Assistant | 1000 Hawthorne Ave Ste T, Athens, GA 30606-2168 | 2013-10-14 |
| 1639457716 | Kara Renee Whyte | Physician Assistant | 242 King Ave, Medical Services Building, 2nd Floor, Athens, GA 30606-3506 | 2011-07-24 |
| 1336367671 | Robert Kevin Chin | Physician Assistant | 711 Cook Dr Ste 100, Athens, TN 37303-3499 | 2007-04-23 |
| 1578789731 | Natasha Nicola Barker | Physician Assistant | 401 Vermillion Street, Athens, WV 24712 | 2007-04-17 |
| 1124184742 | Mara Renee Franklin | Physician Assistant | 1450 Barnett Shoals Rd Ste B, Athens, GA 30605-2748 | 2006-12-28 |
| 1750313854 | Emergency Professionals of Ohio, Inc. | Physician Assistant | 55 Hospital Drive, Athens, OH 45701-2345 | 2006-07-07 |
| Find all providers in ATHENS | ||||
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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.