MRS. KELLY KATHLEEN LUTHER (NPI# 1003210758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003210758 |
| Entity Type | Individual |
| Full Name | MRS. KELLY KATHLEEN LUTHER |
| Other Name | MISS KELLY KATHLEEN O'DONOVAN |
| Credential | PA-C |
| Practice Address |
1630 N Atherton St State College PA 16803-1416 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 8142381279 |
| Practice Fax Number | 8142381929 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA056994 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | OA003347 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA056994 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720481740 | Kelly Luther | Occupational Therapist | 1628 Attilburgh Blvd, West Melbourne, FL 32904-6465 | 2014-10-04 |
| 1164753935 | Kelly M Luther | Counselor | 24 Clay St, Martinsville, VA 24112-2810 | 2010-01-19 |
| Street Address |
1630 N ATHERTON ST |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861824492 | Joyce R Kantner | Registered Nurse | 1630 N Atherton St, State College, PA 16803-1416 | 2013-08-06 |
| 1649637521 | Morgan T Brown | Physician Assistant | 1630 N Atherton St, State College, PA 16803-1416 | 2016-01-22 |
| 1154787893 | Lindsay Marie Hoffman | General Practice | 1630 N Atherton St, Best Buy Plaza, State College, PA 16803-1416 | 2016-01-11 |
| 1063849032 | Meredith Constance Galt | Physician Assistant | 1630 N Atherton St, State College, PA 16803-1416 | 2013-10-04 |
| 1447686654 | Geisinger Clinic | Physician Assistant | 1630 N Atherton St, State College, PA 16803-1416 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| 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 |
|---|---|---|---|---|
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1114100344 | Kimberly Johnson | Physician Assistant | 1850 E Park Ave Ste 103, Cema, Er, State College, PA 16803-6706 | 2007-12-11 |
| 1184778045 | Krista L. Sharer | Physician Assistant | 1630 North Atherton St., State College, PA 17822-5622 | 2007-01-22 |
| 1427077197 | Nathaniel L. Pozniak | Physician Assistant | 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 | 2006-07-19 |
| 1548212970 | Geisinger Clinic | Physician Assistant | 2520 Green Tech Drive, Ste D, State College, PA 16803 | 2006-05-16 |
| 1528019056 | Geisinger Clinic | Physician Assistant | 200 Scenery Drive, State College, PA 16801 | 2006-05-12 |
| 1205824075 | Victoria D Case | Physician Assistant | 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803-2290 | 2005-10-06 |
| 1194725812 | Scott E Butler | Physician Assistant | 1700 Old Gatesburg Rd, Ste 100, State College, PA 16803-2276 | 2005-07-22 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
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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.