MR. JESSE L. SORRELLS (NPI# 1821047358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821047358 |
Entity Type | Individual |
Full Name | MR. JESSE L. SORRELLS |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
Cmr 402 Box 900 Apo, Ae AE 09180 DE |
Practice Telephone | 049637186 |
Mailing Telephone | 049637186 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
CMR 402 BOX 900 |
City | APO, AE |
State | AE |
Zip Code | 09180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
1518374743 | Nathan Persell | Dentist | Landstuhl Dental Activity Hq, Marceau Kaserne Bldg 3703, Rm 205, Landstuhl, KIRCHBERG 09180 | 2014-07-21 |
1558617985 | Schuyler Brent Sessions | Dentist | Bldg 3703 Rm 205, Apo, AE 09180 | 2012-08-03 |
1649555418 | Jacob Naylor | Physical Therapist | Cmr 402, Box 1700, Apo, AE 09180 | 2011-10-12 |
1174832505 | Amy Lunell Spotanski | Advanced Practice Midwife | 3763 Dr Hitzelberger Strase, Apo, AE 09180 | 2010-10-04 |
1629383112 | Benjamin P. Spang | Social Worker | Cmr 402, Box 1096, Apo, AE 09180 | 2010-08-09 |
1457681595 | Emily Ann Schulze Koeneke | Pharmacist | Cmr 402 Landstuhl Regional Medical Center, Apo, AE 09180 | 2010-01-13 |
1992030241 | Troy Kirk Lundell | Dentist | Usa Dentac Landstuhl, Cmr 402 Bldg 3703, Apo, AE 09180 | 2009-10-05 |
Find all providers in zip 09180 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780751008 | David Bruce Melaas | Physician Assistant | Cmr 402 Box 197, Apo, AE 09180-0197 | 2006-11-30 |
1497087779 | Kathleen L Watts | Physician Assistant | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2010-02-11 |
1154311124 | Stephen Gerald Griep | Physician Assistant | Unit 3865, Apo, AE 09126 | 2005-10-21 |
Please comment or provide details below to improve the information on MR. JESSE L. SORRELLS.
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.