WILLIAM T HAVENS (NPI# 1831182898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831182898 |
| Entity Type | Individual |
| Full Name | WILLIAM T HAVENS |
| Credential | PA |
| Practice Address |
600 N Jordan Ave Bloomington IN 47405-3190 |
| Practice Telephone | 8128552181 |
| Mailing Telephone | 8128552181 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363A00000X | Physician Assistant | 009943 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
10000917A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336197417 | William Havens Jr. | Nurse Anesthetist, Certified Registered | 505 S John Redditt Dr, Lufkin, TX 75904-3120 | 2006-05-04 |
| Street Address |
600 N JORDAN AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47405-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470547 | Felicia Cianchetti | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2020-02-26 |
| 1538707823 | Fatima Zaidi | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-12-17 |
| 1942845078 | Daisy Day Anspach | Social Worker | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-11-13 |
| 1417443359 | Denise Hayes | Psychologist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2018-07-03 |
| 1891212767 | George Brandon Muncy | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-08-23 |
| 1871013045 | Molly Elaine Mckelfresh | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-06-20 |
| 1487193512 | David Boncek | Physical Therapist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-02-22 |
| 1336539345 | Michelle Dodson | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-28 |
| 1093105124 | Kelly Lazzell | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-27 |
| 1477959302 | Drew Stocksdale | Mechanotherapist | 600 N Jordan Ave, Health Center Health and Wellness, Bloomington, IN 47405-3190 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1801342621 | William Daniels Jr. | Health Educator | 600 N. Jordan Ave., Bloomington, IN 47405 | 2016-08-31 |
| 1588053664 | Sara Anne Boyer | Preventive Medicine | 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 | 2015-01-13 |
| 1437438181 | Walter Lawrence Campbell | Counselor | 600 N. Jordan Ave, Bloomington, IN 47405 | 2011-08-12 |
| 1568580314 | Linda Jean Noble | Physical Therapist | Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 | 2007-03-27 |
| 1811482854 | Alexandria Lui | Optometrist | 744 E 3rd St, Bloomington, IN 47405 | 2018-06-22 |
| 1295234763 | Joshua Allan Stommes | Optometrist | 800 E Atwater Ave, Bloomington, IN 47405 | 2018-02-09 |
| 1366432528 | Rebecca D. Eberle | Speech-Language Pathologist | 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 | 2005-10-27 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
| Find all providers in zip 47405 | ||||
| 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 |
|---|---|---|---|---|
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1386292886 | Quinn Harmon | Physician Assistant | 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403-2001 | 2019-08-28 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1730619487 | Elise Nicole Lill | Physician Assistant | 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 | 2017-06-15 |
| 1528417557 | Kathryn Shalbrack | Physician Assistant | 4300 Marketpointe Dr, Bloomington, MN 55435-5423 | 2016-06-09 |
| 1740634203 | Alfonso Luna IIi | Physician Assistant | 657 S Lancewood Ave, Bloomington, CA 92316-1336 | 2016-04-20 |
| 1215308671 | Sara Ann Houk | Physician Assistant | 2200 E. Washington St, Bloomington, IL 61701-4323 | 2015-10-12 |
| 1760865133 | Patrick D Machacek | Physician Assistant | 10633 Vincent Ave S, Bloomington, MN 55431-3733 | 2015-07-03 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47405 |
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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.