MR. KEVIN PATRICIO MORA (NPI# 1942789151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942789151 |
| Entity Type | Individual |
| Full Name | MR. KEVIN PATRICIO MORA |
| Credential | PA |
| Practice Address |
3535 Olentangy River Rd Columbus OH 43214-3908 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 6145665000 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Grant Ave, Columbus, OH 432154701 | 6145669000 |
| Street Address |
3535 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980891 | Amy D Miracle | Advanced Practice Midwife | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2005-05-23 |
| 1295333102 | Amanda Rupert | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-10-13 |
| 1083228159 | Laura Rae Skirtich | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-09-04 |
| 1285247460 | Brittany Nicole Bourne | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-26 |
| 1356954614 | Patrick Christopher Hartnett | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3998 | 2020-08-26 |
| 1235741380 | Kathryn E Mckinnon | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-20 |
| 1083226393 | Brittany Vonau | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-18 |
| 1487279196 | Joseph Gene Lucas | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-06-09 |
| 1639793961 | Jordan Vance Dewitt | Pharmacist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-06-02 |
| 1154944239 | Javahn Lamar Iverson | Specialist/Technologist, Other | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960359 | Autumn Combs | Physician Assistant | 437 N Gould Rd Apt F, Columbus, OH 43209-1139 | 2016-01-15 |
| 1740665926 | Julianne Gonzalez | Physician Assistant | 350 Manchester Expy, Columbus, GA 31904-6435 | 2015-07-29 |
| 1629461165 | Michael Bryant | Physician Assistant | 911 Rudgate Rd, Columbus, GA 31904-2948 | 2015-03-09 |
| 1174880447 | Ricky Lee Martin Jr. | Physician Assistant | 2326 18th St Ste 210, Columbus, IN 47201-5362 | 2012-04-11 |
| 1710068374 | April K Howell | Physician Assistant | 2008 Wynnton Rd, Columbus, GA 31906-2407 | 2006-10-18 |
| 1124035399 | Diane L. Mitchell | Physician Assistant | 1130 Talbotton Rd, Columbus, GA 31904-8749 | 2006-08-01 |
| 1194752790 | Karen L Goodale | Physician Assistant | 2881 Nc Hwy 108 E, Columbus, NC 28722-7721 | 2006-06-27 |
| 1164469979 | Mark H Epps | Physician Assistant | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2006-06-01 |
| 1164484689 | Jim Lawrence Mcevers | Physician Assistant | 109 Shult Dr, Suite 101, Columbus, TX 78934-3015 | 2006-04-03 |
| 1972586287 | Susan A Farwell | Physician Assistant | 45 E Mills St, Columbus, NC 28722 | 2005-11-22 |
| Find all providers in COLUMBUS | ||||
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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.