MRS. AMANDA C DAVENPORT (NPI# 1922331354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922331354 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA C DAVENPORT |
| Other Name | MS. AMANDA C STRECKER |
| Credential | PA-C |
| Practice Address |
9570 W 159th St Orland Park IL 60467-5504 |
| Mailing Address |
Po Box 544 Dept 5390 Milwaukee WI 53201-0544 |
| Practice Telephone | 7086757070 |
| Practice Fax Number | 7086757074 |
| Mailing Telephone | 8157132600 |
| Mailing Fax Number | 8156548020 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2010-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003583 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP PTAN | 213992 | 01 |
| IL | GROUP PTAN | 204591 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255527677 | Amanda Robin Davenport | Counselor | 807 Nw 137th St, Edmond, OK 73013-1952 | 2007-09-19 |
| 1174018857 | Amanda Davenport | Nurse Practitioner | 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | 2018-06-26 |
| 1922547181 | Amanda Davenport | Social Worker | 102 Main St, Suite 217, Lagrange, GA 30240-3225 | 2017-02-20 |
| 1568718559 | Amanda Michelle Davenport | Counselor | 5410 N 44th St, Tacoma, WA 98407-3715 | 2012-07-27 |
| 1578883302 | Amanda Sue Davenport | Obstetrics & Gynecology | 301 Gordon Gutmann Blvd, Suite 201, Jeffersonville, IN 47130-3764 | 2010-06-03 |
| Street Address |
9570 W 159TH ST |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759731 | Rachel Ruzevich | Physician Assistant | 9570 W 159th St, Orland Park, IL 60467-5504 | 2020-01-22 |
| 1760993711 | Elizabeth Wojtowicz | Physician Assistant | 9570 W 159th St, Orland Park, IL 60467-5504 | 2017-10-17 |
| 1265861314 | Claire Michelle Hopkins | Physician Assistant | 9570 W 159th St, Orland Park, IL 60467-5504 | 2013-11-08 |
| 1407150956 | Flexeon Rehabilitation of Orland Park South, LLC | Clinic/Center | 9570 W 159th St, Ste. C, Orland Park, IL 60467-5504 | 2010-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| 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 |
|---|---|---|---|---|
| 1144739640 | Amanda Bielman | Physician Assistant | 14741 S Ravinia Ave, Orland Park, IL 60462-3100 | 2017-09-27 |
| 1275824930 | Thomas Prokop | Physician Assistant | 10719 W 160th St, Orland Park, IL 60467-5541 | 2011-04-28 |
| 1861643520 | Lauren Marie Gute | Physician Assistant | 14050 Michael Dr, Orland Park, IL 60462-2224 | 2008-09-30 |
| 1528276219 | Jennifer S O'boyle | Physician Assistant | 16513 S. 106th Court, Orland Park, IL 60467-4545 | 2007-05-18 |
| 1134759731 | Rachel Ruzevich | Physician Assistant | 9570 W 159th St, Orland Park, IL 60467-5504 | 2020-01-22 |
| 1134767999 | Jennifer Curtin | Physician Assistant | 9131 W 151st St, Orland Park, IL 60462-3202 | 2019-12-11 |
| 1124660337 | Clementie Sinigur | Physician Assistant | 60 Orland Square Dr Ste 101, Orland Park, IL 60462-6522 | 2019-10-09 |
| 1629634449 | Girelle Peterson | Physician Assistant | 60 Orland Square Dr Ste 101, Orland Park, IL 60462-6522 | 2019-05-16 |
| 1013479641 | Sara A Hill | Physician Assistant | 60 Orland Square Dr Ste 101, Orland Park, IL 60462-6522 | 2019-04-02 |
| 1972077477 | Dalton Lee Sexton | Physician Assistant | 10755 163rd Pl, Orland Park, IL 60467-8861 | 2019-01-17 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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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.