MICHAEL W. KING (NPI# 1063503787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063503787 |
| Entity Type | Individual |
| Full Name | MICHAEL W. KING |
| Credential | P.A.-C. |
| Practice Address |
15 Founders Lane Jacksonville IL 62650-3918 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-001200 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996021 | Michael T King | Social Worker | 4084 Okemos Rd Ste A, Okemos, MI 48864-3258 | 2020-09-13 |
| 1205475365 | Michael King | Home Health Aide | 120 45th St Ne Apt 613, Washington, DC 20019-4790 | 2020-01-06 |
| 1770001406 | Michael Lee King | Dentist | 5900 Hiatus Rd Ste 300, Cooper City, FL 33330-4527 | 2017-09-01 |
| 1871044875 | Michael King II | Case Manager/Care Coordinator | 420 E Highland Ave, Hermiston, OR 97838-2611 | 2016-10-14 |
| 1033665583 | Michael King | Social Worker | 106 Heights Ave, Fair Lawn, NJ 07410-1308 | 2016-08-25 |
| 1003251661 | Michael King Jr. | Social Worker | 2017 Savannah Ter Se, Washington, DC 20020-2127 | 2013-05-08 |
| 1497039739 | Michael King | Social Worker | 209 State St., #5, Portland, ME 04101 | 2011-10-05 |
| 1558642470 | Michael King | Dentist | 2715 W Green Oaks Blvd, Arlington, TX 76016-1671 | 2011-09-06 |
| 1053691329 | Michael Lawrence King | Dentist | 2605 Blue Ridge Rd Ste 200, Raleigh, NC 27607-6475 | 2011-08-18 |
| 1699099911 | Michael Don King | Nurse Practitioner | 188 W Oxford St, Pontotoc, MS 38863-2006 | 2010-03-15 |
| Street Address |
15 FOUNDERS LANE |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245229681 | Agnes A Wood | Family Medicine | 15 Founders Lane, Jacksonville, IL 62650-3918 | 2005-10-18 |
| 1790124709 | Ryan D. Farris | Audiologist | 15 Founders Lane, Jacksonville, IL 62650-3918 | 2013-06-24 |
| 1801153945 | Jane E. Piper | Nurse Practitioner | 15 Founders Lane, Jacksonville, IL 62650-3918 | 2012-04-13 |
| 1174702021 | Amber N. Wright | Nurse Practitioner | 15 Founders Lane, Jacksonville, IL 62650-3918 | 2007-10-29 |
| 1134227135 | John L. Malcott | Family Medicine | 15 Founders Lane, Jacksonville, IL 62650-3918 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| 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 |
|---|---|---|---|---|
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
| 1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
| 1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
| 1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
| 1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
| 1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
| 1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on MICHAEL W. KING.
| 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.