LINDSEY ANN MACKELLAR (NPI# 1053512582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053512582 |
| Entity Type | Individual |
| Full Name | LINDSEY ANN MACKELLAR |
| Credential | PA-C |
| Practice Address |
181 West Meadow Dr Vail CO 81657 |
| Mailing Address |
Po Box 40000 Vail CO 81658 |
| Practice Telephone | 9704795036 |
| Practice Fax Number | 9704795156 |
| Mailing Telephone | 9704795036 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2336 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DEA | MM1522704 | 01 |
| Street Address |
181 WEST MEADOW DR |
| City | VAIL |
| State | CO |
| Zip Code | 81657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252586 | Steadman Clinic | General Acute Care Hospital | 181 West Meadow Dr, Suite 200, Vail, CO 81657 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1295952760 | Gayle L Braunholtz | Emergency Medicine | 181 West Meadow Drive, Vail, CO 81657 | 2007-04-19 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828139 | Michelle Lafontaine | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2018-10-31 |
| 1255782181 | Emily Neal | Physician Assistant | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2016-06-22 |
| 1932538097 | Sarah Elizabeth Froman | Physician Assistant | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2013-11-08 |
| 1003155771 | Jason K Kron | Physician Assistant | 181 W Meadow Dr, Vail, CO 81657-5242 | 2013-01-31 |
| 1598012072 | Brandon Thomas Kolodzek | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2012-08-14 |
| 1124373287 | Kyle Schaefer | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2012-07-16 |
| 1710291471 | Leah Ilene Dvorkin | Physician Assistant | 181 W Meadow Dr, Vail, CO 81657-5242 | 2010-08-04 |
| 1174776355 | Timothy Jared Reseigh | Physician Assistant | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2008-10-31 |
| 1356468979 | S.jason Moore | Physician Assistant | 181 W Meadow Dr, Vail, CO 81657-5242 | 2007-03-26 |
| 1184602823 | Talena Cox Williams | Physician Assistant | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2006-01-04 |
| Find all providers in VAIL | ||||
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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.