KELLE B JOHNSON (NPI# 1073982179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073982179 |
| Entity Type | Individual |
| Full Name | KELLE B JOHNSON |
| Credential | PA-C |
| Practice Address |
32-36 Central Ave Emergency Department Wellsboro PA 16901-1840 |
| Mailing Address |
32-36 Central Ave Medical Staff Office Wellsboro PA 16901-1840 |
| Practice Telephone | 5707230145 |
| Mailing Telephone | 5707230104 |
| Mailing Fax Number | 5707230118 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| 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 |
32-36 CENTRAL AVE EMERGENCY DEPARTMENT |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993744 | Leonard E. Dale II | Radiology | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2005-06-24 |
| 1528681871 | Upmc Wellsboro | Anesthesiology | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2020-05-21 |
| 1336796705 | Rebecca Joy Meyer-warner | Physical Therapist | 32-36 Central Ave, Wellsboro, PA 16901-1899 | 2019-08-21 |
| 1013569516 | Levi Hewitt | Physical Therapy Assistant | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-07-15 |
| 1912559469 | Melissa Bruns Taylor | Physical Therapist | 32-36 Central Ave, Wellsboro, PA 16901-1899 | 2019-07-15 |
| 1235799701 | Linda L Whipple Crum | Physical Medicine & Rehabilitation | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-06-17 |
| 1639636533 | Upmc Wellsboro | Physician Assistant | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-02-27 |
| 1396232096 | Lisa L Seeley | Nurse Practitioner | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2018-04-18 |
| 1326593278 | Margaret S Frock | Nurse Practitioner | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2016-08-22 |
| 1427501766 | Upmc Wellsboro | General Acute Care Hospital | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2016-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| 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 |
|---|---|---|---|---|
| 1407409857 | Laura Elizabeth Lawson | Physician Assistant | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2019-07-24 |
| 1881151520 | Benjamin Meier | Physician Assistant | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2019-03-01 |
| 1639636533 | Upmc Wellsboro | Physician Assistant | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2019-02-27 |
| 1699241950 | Allison Mae Moss | Physician Assistant | 7 Water St, Wellsboro, PA 16901-1126 | 2018-10-15 |
| 1356825962 | Skylar Marie Andrews | Physician Assistant | 110 Plaza Ln, Wellsboro, PA 16901-1773 | 2018-09-19 |
| 1881023190 | Jacqueline Nicole Wiand | Physician Assistant | 7 Water Street, Wellsboro Laurel Health Center, Wellsboro, PA 16901 | 2013-11-06 |
| 1770919524 | James Biery | Physician Assistant | 7 Water St, Wellsboro, PA 16901-1126 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.