KENNETH R MASSEY (NPI# 1073627691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073627691 |
| Entity Type | Individual |
| Full Name | KENNETH R MASSEY |
| Credential | PAC |
| Practice Address |
2723 S 7th Street Suite A Terre Haute IN 47802-3558 |
| Mailing Address |
5628 Pecos Ln Terre Haute IN 47805-9686 |
| Practice Telephone | 8122328164 |
| Practice Fax Number | 8122346391 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000863A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CHAMPUS-TRICARE | 650485596006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154593804 | Kenneth Christopher Massey | Occupational Therapist | 2051b Hamill Rd, Hixson, TN 37343-4085 | 2008-04-01 |
| Street Address |
2723 S 7TH STREET SUITE A |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803295 | Tony K. Nasser | Internal Medicine | 2723 S 7th Street, Suite A, Terre Haute, IN 47802-3558 | 2005-12-29 |
| 1881005213 | Christopher D Schmidt | Physician Assistant | 2723 S 7th Street, Suite C, Terre Haute, IN 47802-3558 | 2014-05-20 |
| 1306284039 | Christen Lee Schmidt | Physician Assistant | 2723 S 7th Street, Suite A, Terre Haute, IN 47802-3558 | 2013-06-04 |
| 1134375157 | Joseph Y Abdayem | Family Medicine | 2723 S 7th Street, Ste L, Terre Haute, IN 47802-3558 | 2008-08-11 |
| 1003005208 | Thelma R Yanga-barksdale | Physical Therapist | 2723 S 7th Street, Suite A, Terre Haute, IN 47802-3558 | 2007-10-24 |
| 1689897886 | Jamiley C Maynard | Nurse Practitioner | 2723 S 7th Street, Suite C, Terre Haute, IN 47802-3558 | 2007-04-10 |
| 1962476440 | Harold P Loveall Jr. | Family Medicine | 2723 S 7th Street, Suite C, Terre Haute, IN 47802-3558 | 2006-02-14 |
| 1235102062 | Darren C Brucken | Family Medicine | 2723 S 7th Street, Suite C, Terre Haute, IN 47802-3558 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| 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 |
|---|---|---|---|---|
| 1942862875 | Kendal R. Carpenter | Physician Assistant | 2900 Idaho St, Terre Haute, IN 47803-3875 | 2019-07-01 |
| 1306261508 | Genevieve Muscatell | Physician Assistant | 3495 S 4th St, Terre Haute, IN 47802-5501 | 2014-02-25 |
| 1457378085 | Lisa M Repko | Physician Assistant | 1606 N 7th St., Terre Haute, IN 47804-2706 | 2006-07-17 |
| 1508857145 | Union Hospital Inc. | Physician Assistant | 1513 N 6th 1/2 St, Terre Haute, IN 47807-1039 | 2005-11-02 |
| 1497362438 | Loganne D Wertz | Physician Assistant | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2020-09-24 |
| 1245888767 | Stephen Rogitz | Physician Assistant | 1530 N 7th St, Terre Haute, IN 47807-1057 | 2019-08-28 |
| 1972156990 | Shannon Elise Brisbin | Physician Assistant | 1801 N 6th St, Terre Haute, IN 47804-4086 | 2019-07-18 |
| 1760043566 | Alexandra Strunk | Physician Assistant | 1429 N 6th St, Terre Haute, IN 47807-1019 | 2019-06-24 |
| 1740755115 | Karen E Serowka | Physician Assistant | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2018-10-11 |
| 1891219820 | Emily Gauer | Physician Assistant | 4733 S 7th St, Terre Haute, IN 47802-4559 | 2017-08-01 |
| Find all providers in TERRE HAUTE | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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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.