BRADLEY J. BEATTIE III (NPI# 1841286622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841286622 |
| Entity Type | Individual |
| Full Name | BRADLEY J. BEATTIE III |
| Credential | PA-C |
| Practice Address |
1208 N Lincoln St Knoxville IA 50138-3421 |
| Practice Telephone | 6418283832 |
| Practice Fax Number | 6418283820 |
| Mailing Telephone | 6418283832 |
| Mailing Fax Number | 6418283820 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001135 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LICENSE | 001135 | 01 |
| Street Address |
1208 N LINCOLN ST |
| City | KNOXVILLE |
| State | IA |
| Zip Code | 50138-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639670300 | Christina Rae Sailors | Nurse Practitioner | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2018-02-27 |
| 1487194791 | Stacy N. Hennigar | Nurse Practitioner | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2017-03-06 |
| 1821478439 | Jennifer Elkin | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138 | 2015-06-09 |
| 1043282759 | Kevin Wayne Mace | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2006-02-06 |
| 1154308278 | Michael J Daly | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2005-12-29 |
| 1710975347 | Todd A Treimer | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138-3421 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639726607 | Janice Rankin | Technician | 1130 180th Ave, Knoxville, IA 50138 | 2019-08-23 |
| 1255547832 | Margaret Elaine Ragner | Counselor | 104 South 6th, Knoxville, IA 50138 | 2007-05-14 |
| 1316161839 | Homestead of Knoxville Operations LLC | Assisted Living Facility | 908 South Park Lane Drive, Knoxville, IA 50138 | 2007-04-13 |
| 1811066806 | Travis J Egesdal | Dentist | 112 S 1st St, Knoxville, IA 50138 | 2006-11-06 |
| 1760583520 | Kathryn E De Zwarte | Social Worker | 1515 W Pleasant, Knoxville, IA 50138 | 2006-09-26 |
| 1821199365 | Scotty Thomas Hagan | Social Worker | 1515 West Pleasant, Knoxville, IA 50138 | 2006-09-26 |
| 1629175427 | Alicja Marta Pauler | General Practice | 1515 Pleasant St, Knoxville, IA 50138 | 2006-09-20 |
| 1235199571 | Jane M. Gandy | Physician Assistant | 1607 N Lincoln St, Knoxville, IA 50138 | 2006-03-23 |
| 1437642071 | Rocky Mountain Holdings, LLC | Ambulance | 1545 Highway 14, Knoxville, IA 50138 | 2018-06-08 |
| 1427428143 | Jennifer Lorayne Coxe | Nurse Practitioner | 1202 W Howard St, Knoxville, IA 50138 | 2015-10-07 |
| Find all providers in zip 50138 | ||||
| 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 |
|---|---|---|---|---|
| 1770198061 | John Intemann | Physician Assistant | 2708 Swafford Rd, Knoxville, TN 37932-1311 | 2020-09-13 |
| 1942839311 | Melissa Joanne O'neill | Physician Assistant | 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 | 2020-04-07 |
| 1447895370 | Keiana Skinner | Physician Assistant | 2206 Finley Cane Ln, Knoxville, TN 37932-1572 | 2019-11-14 |
| 1780231068 | Kaycee Heitzman | Physician Assistant | 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 | 2019-08-21 |
| 1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
| 1508423369 | Bradley-james Ryan Faulkner | Physician Assistant | 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 | 2019-05-28 |
| 1316406499 | David M Beauchamp | Physician Assistant | 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 | 2019-03-18 |
| 1568920593 | Richard Ervin Birmingham II | Physician Assistant | 304 Bagwell Rd, Knoxville, TN 37924-2813 | 2019-03-08 |
| 1710443080 | Devon Meske Herrin | Physician Assistant | 6484 Kingston Pike, Knoxville, TN 37919-4863 | 2019-02-12 |
| 1780149070 | Shelby Paige Bean | Physician Assistant | 7661 Red Bay Way, Knoxville, TN 37919-4722 | 2019-01-31 |
| Find all providers in KNOXVILLE | ||||
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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.