STEPHANIE A HULL (NPI# 1801853635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801853635 |
| Entity Type | Individual |
| Full Name | STEPHANIE A HULL |
| Credential | PA |
| Practice Address |
2305 Chambliss Ave Nw Emergency Department Cleveland TN 37311-3847 |
| Mailing Address |
108 Holly Trl Nw Cleveland TN 37311-1074 |
| Practice Telephone | 4235596000 |
| Mailing Telephone | 5708474187 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1346 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009978995 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518130202 | Stephanie Leigh Hull | Physical Therapy Assistant | 613 S Chicago St, Geneseo, IL 61254-1711 | 2008-04-02 |
| 1821424672 | Stephanie Hull | Nurse Practitioner | 6360 Hoadly Rd, Manassas, VA 20112-3422 | 2013-09-24 |
| 1700130598 | Stephanie A Hull | Physician Assistant | 1000 Asylum Ave, Suite 3212, Hartford, CT 06105-1770 | 2012-11-01 |
| 1881748929 | Stephanie Hull | Dietitian, Registered | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2007-01-23 |
| Street Address |
2305 CHAMBLISS AVE NW EMERGENCY DEPARTMENT |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329845 | Howard Kenton Hamilton | Radiology | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2005-07-07 |
| 1710592035 | Jessica Marie Rose | Registered Nurse | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-09-14 |
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1093345134 | Megan Randolph Justice | Specialist/Technologist, Other | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-01-16 |
| 1922565282 | Nicholas Alexander Taylor | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2019-02-22 |
| 1720580582 | Zachary Ryan Brown | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2018-03-07 |
| 1386193803 | Barratt Lee Schichtel | Nurse Practitioner | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-09-26 |
| 1740630243 | Matthew Shachner | Anesthesiology | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-06-15 |
| 1740649706 | Jennifer Hinds | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-02-18 |
| 1760866735 | Ahmadur Rahman Siddiqui | Internal Medicine | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2015-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| 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 |
|---|---|---|---|---|
| 1780236778 | Pawel Samplawski | Physician Assistant | 4697 W 149th St, Cleveland, OH 44135-3421 | 2019-07-10 |
| 1720647605 | Haley Martin | Physician Assistant | 2701 Jay Ave, Cleveland, OH 44113-3041 | 2019-06-13 |
| 1841857570 | Lindsey Gardiner | Physician Assistant | 1504 E 107th St, Cleveland, OH 44106-1830 | 2019-05-29 |
| 1972169142 | Morgan Adeline Tomsic | Physician Assistant | 2300 Overlook Rd Apt 720, Cleveland, OH 44106-5922 | 2019-05-14 |
| 1598239410 | Bridget Stauffer | Physician Assistant | 9500 Euclid Ave # A-60, Cleveland, OH 44195-1924 | 2019-01-14 |
| 1811462906 | John Michael Bonham | Physician Assistant | 2121 N Ocoee St Ste 101, Cleveland, TN 37311-3953 | 2018-10-04 |
| 1427532977 | Robert J Werner | Physician Assistant | 18101 Lorain Ave # 4, Cleveland, OH 44111-5612 | 2018-09-20 |
| 1285114892 | Guy David Ferguson | Physician Assistant | 400 Stuart Rd Ne Ste 1, Cleveland, TN 37312-4995 | 2018-08-14 |
| 1821592551 | Elizabeth Anne Butler | Physician Assistant | 9500 Euclid Ave Mail Code: S51, Cleveland, OH 44193-0001 | 2018-03-19 |
| 1285148817 | Marci Scovil | Physician Assistant | 9500 Euclid Ave # G60, Cleveland, OH 44195 | 2017-11-17 |
| Find all providers in CLEVELAND | ||||
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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.