KYLE FENNER (NPI# 1952858797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952858797 |
| Entity Type | Individual |
| Full Name | KYLE FENNER |
| Credential | PA-C |
| Practice Address |
610 W Main St Wilmington OH 45177-2125 |
| Practice Telephone | 9373826611 |
| Mailing Telephone | 7406062119 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
610 W MAIN ST |
| City | WILMINGTON |
| State | OH |
| Zip Code | 45177-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356329890 | Professional Emergency Specialists of Southern Ohio | Emergency Medicine | 610 W Main St, Wilmington, OH 45177-2125 | 2006-01-05 |
| 1881200475 | Adfinitas Health of Ohio, LLC | Hospitalist | 610 W Main St, Wilmington, OH 45177-2194 | 2020-09-18 |
| 1194265728 | Assurance Health Wilmington, LLC | Psychiatric Unit | 610 W Main St, Wilmington, OH 45177-2125 | 2017-03-01 |
| 1326594748 | Blaine Hill Emergency Physicians, LLC | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-26 |
| 1396291720 | Good River Emergency Physicians, LLC | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-26 |
| 1730632100 | Lurajean Cravens | Nurse Practitioner | 610 W Main St, Wilmington, OH 45177-2125 | 2016-08-02 |
| 1194177865 | Melissa Storer | Nurse Practitioner | 610 W Main St, Wilmington, OH 45177-2125 | 2016-07-06 |
| 1831571009 | Syed T Ahsan | Internal Medicine | 610 W Main St, Wilmington, OH 45177-2125 | 2015-06-24 |
| 1780071696 | Benjamin Herendeen | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2015-04-17 |
| 1952790669 | Ohio Em-i Medical Services Professional Association | Physician Assistant | 610 W Main St, Wilmington, OH 45177-2125 | 2015-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1639642754 | Jerrica Kimber Smith | Physical Therapy Assistant | 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 | 2019-01-11 |
| 1083187280 | Heather Freytag | Physical Therapy Assistant | 175 Cape May Drive, Wilmington, OH 45177 | 2019-01-10 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1144632431 | Orion Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 4595 State Route 730, Wilmington, OH 45177 | 2014-05-21 |
| 1841546975 | Kathleen Michelle Miller | Nurse Practitioner | 610 West Main Street, Emergency Department, Wilmington, OH 45177 | 2012-07-26 |
| 1952693590 | John K Loudermilk Inc. | Dentist | 260 W. Locust St., Wilmington, OH 45177 | 2011-05-13 |
| 1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
| 1417179474 | Larry Alan Howard | Specialist/Technologist | Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 | 2007-05-02 |
| 1659494425 | Alan Robert Thompson | Chiropractor | 39 North South Street, Wilmington, OH 45177 | 2007-04-09 |
| Find all providers in zip 45177 | ||||
| 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 |
|---|---|---|---|---|
| 1750990461 | Kyra Isaacs | Physician Assistant | 1901 Greenbriar Dr, Wilmington, DE 19810-4320 | 2020-07-28 |
| 1144847252 | Stephanie Marie Barczak | Physician Assistant | 11 Amherst Rd, Wilmington, MA 01887-2608 | 2020-07-06 |
| 1457984676 | Jessica Patrick Lancaster | Physician Assistant | 602 Jennings Dr, Wilmington, NC 28403-2732 | 2020-02-17 |
| 1730727348 | Lea Ann Cenname | Physician Assistant | 722 Mohican Trl, Wilmington, NC 28409-3429 | 2019-12-13 |
| 1467944645 | Julie Renee Sims | Physician Assistant | 3411 Silverside Rd Ste 107, Wilmington, DE 19810-4806 | 2018-06-04 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1336658657 | Eric Dees | Physician Assistant | 501 W 14th St Fl 1, Wilmington, DE 19801-1013 | 2017-09-29 |
| 1174047591 | Carlie M Black | Physician Assistant | 4815 Oleander Dr Ste 100, Wilmington, NC 28403-5116 | 2017-07-27 |
| 1497294581 | Kathleen Lauren Meyer | Physician Assistant | 6419 Carolina Beach Rd Ste A, Wilmington, NC 28412-3672 | 2017-02-22 |
| 1477090967 | David Romano | Physician Assistant | 15 Kilmarnock St, Wilmington, MA 01887-3061 | 2017-01-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 45177 |
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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.