MR. MICHAEL GERARD KILEY (NPI# 1922176361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922176361 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GERARD KILEY |
| Credential | RPA-C |
| Practice Address |
396 Broadway Mid Hudson Physicians, PC Kingston NY 12401-4626 |
| Practice Telephone | 8453313131 |
| Practice Fax Number | 8453342898 |
| Mailing Telephone | 8453313131 |
| Mailing Fax Number | 8453342898 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
009692 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03834842 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144297136 | Michael A Kiley | Physician Assistant | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2006-03-08 |
| Street Address |
396 BROADWAY MID HUDSON PHYSICIANS, PC |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026653 | Harold E Gardner | Nurse Anesthetist, Certified Registered | 396 Broadway, Kingston, NY 12401-4626 | 2005-07-08 |
| 1144843111 | Vahe Matnishian | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-05-25 |
| 1093334351 | Brett Saltrick | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2020-04-15 |
| 1043877186 | Gaithe St Cyr | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2019-05-23 |
| 1972099646 | Michael Aaron Kurek | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-07-06 |
| 1366932907 | Marissa L Mertens | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2018-05-17 |
| 1053816215 | Gregory Joseph Nero | Student in an Organized Health Care Education/Training Program | 396 Broadway, Kingston, NY 12401-4626 | 2018-03-28 |
| 1649782129 | Candace Chelsea Chin | Pharmacist | 396 Broadway, Kingston, NY 12401-4626 | 2017-10-24 |
| 1609397512 | Lanny L Cleary | Nurse Practitioner | 396 Broadway, Kingston, NY 12401-4626 | 2017-06-30 |
| 1891239737 | Ashley Arzadon | Podiatrist | 396 Broadway, Kingston, NY 12401-4626 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| 1740723675 | Ashley K Marsh | Physician Assistant | 610 Wyoming Ave, Suite 1, Kingston, PA 18704-3702 | 2016-11-26 |
| 1386186302 | Laura Sasso | Physician Assistant | 396 Broadway, Kingston, NY 12401 | 2016-11-08 |
| 1366833642 | Elizabeth Adolfie | Physician Assistant | 396 Broadway, Kingston, NY 12401-4626 | 2015-02-09 |
| 1811391741 | Amanda Apolonia Waligun | Physician Assistant | 560 Pierce St, Kingston, PA 18704-5716 | 2014-10-21 |
| 1508297524 | Amy Louise Flaherty | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704-5802 | 2013-12-01 |
| 1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
| 1689983272 | Alycia Marie Coar | Physician Assistant | 451 3rd Ave Ste 1, Kingston, PA 18704 | 2010-09-29 |
| 1447589544 | Jessica Anne Frawley Woolfolk | Physician Assistant | 440 Pierce St, Kingston, PA 18704 | 2009-12-18 |
| 1467601732 | Aunisha Desai | Physician Assistant | 445 Wyoming Avenue, Kingston, PA 18704 | 2008-09-11 |
| Find all providers in KINGSTON | ||||
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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.