KELSA MARIE DEGARMO (NPI# 1780281675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780281675 |
Entity Type | Individual |
Full Name | KELSA MARIE DEGARMO |
Other Name | KELSA M DIDIER-MILLS |
Credential | PA |
Practice Address |
373 Summit St Elgin IL 60120-3733 |
Mailing Address |
Po Box 122 Bellwood NE 68624-0122 |
Practice Telephone | 8476081344 |
Mailing Telephone | 4023678412 |
Enumeration Date | 2020-10-05 |
Last Update Date | 2020-10-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 2535 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363A00000X | Physician Assistant | 085.007970 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3901 Mercy Dr, Mchenry, IL 600503151 | 8153639900 | |
450 Dundee Ave, Elgin, IL 601204205 | 8476081344 |
Street Address |
373 SUMMIT ST |
City | ELGIN |
State | IL |
Zip Code | 60120-3733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871581199 | Regional Diagnostics, LLC | Clinic/Center | 373 Summit St, Elgin, IL 60120-3733 | 2005-10-11 |
1841833217 | Bee Chang | Nurse Practitioner | 373 Summit St, Elgin, IL 60120-3733 | 2019-10-17 |
1760963938 | Greater Elgin Family Care Center Integrated Health Home | Family Medicine | 373 Summit St, Elgin, IL 60120-3733 | 2018-08-27 |
1144730417 | Morgan Lynn White | Physician Assistant | 373 Summit St, Elgin, IL 60120-3733 | 2017-10-02 |
1699195784 | Ashley Wayne | Nurse Practitioner | 373 Summit St, Elgin, IL 60120-3733 | 2014-04-16 |
1912336082 | Jennifer Biel | Physician Assistant | 373 Summit St, Elgin, IL 60120-3733 | 2013-11-08 |
1871934786 | Samantha Kaylee Metoyer Horton | Counselor | 373 Summit St, Elgin, IL 60120-3733 | 2013-07-09 |
1508107749 | Elgin Universal Dental LLC | Dentist | 373 Summit St, Suite # 108, Elgin, IL 60120-3733 | 2013-03-13 |
1437422128 | Elgin Universal Dental | Dentist | 373 Summit St, Suite 108, Elgin, IL 60120-3733 | 2012-02-11 |
1619265659 | Kristen C. Gonzaga | Nurse Practitioner | 373 Summit St, Elgin, IL 60120-3733 | 2011-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
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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 |
---|---|---|---|---|
1730696469 | Steven Michael Perri | Physician Assistant | 431 Summit St Ste 101, Elgin, IL 60120-3861 | 2018-01-03 |
1184136293 | Colleen Friedlein | Physician Assistant | 370 Summit St Ste 1a, Elgin, IL 60120-3843 | 2017-10-30 |
1306389911 | Jason Sarkey | Physician Assistant | 860 Summit St Ste 123, Elgin, IL 60120-4350 | 2016-11-30 |
1265701940 | Jason Matthias Henning | Physician Assistant | 101 F St, Elgin, OK 73538-9160 | 2011-12-24 |
1669788162 | Kathleen Sofen Guerra | Physician Assistant | 1750 N Randall Rd Ste 120, Elgin, IL 60123-7900 | 2010-08-23 |
1033442975 | Jonathan Philip Dollison | Physician Assistant | 218 W Us Highway 290, Elgin, TX 78621-3265 | 2009-09-10 |
1306083985 | Ashley Jansen | Physician Assistant | 1750 N. Randall Road, Suite #120, Elgin, IL 60123 | 2009-01-19 |
1942423645 | Diana Rhea Reese | Physician Assistant | 750 Fletcher Dr Ste 204, Elgin, IL 60123-4703 | 2007-04-11 |
1033233150 | Nancy L Mcpherson | Physician Assistant | 603 East St North, Jacobson Memorial Hospital Care Center, Elgin, ND 58533 | 2007-03-16 |
1003956640 | Lindsay J Mccracken | Physician Assistant | 373 Summit St Ste 104, Elgin, IL 60120-3748 | 2007-02-06 |
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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.