KAITLIN M ROEHL


Address: 1650 Cowles St, Fairbanks, AK 99701-5907
Phone: 9074586450

KAITLIN M ROEHL (NPI# 1083128532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083128532
Entity Type Individual
Full Name KAITLIN M ROEHL
Practice Address 1650 Cowles St
Fairbanks
AK 99701-5907
Mailing Address 7 Pinto Ln
Stafford
VA 22556-3440
Practice Telephone 9074586450
Practice Fax Number 9074586430
Mailing Telephone 5402703712
Enumeration Date 2017-11-20
Last Update Date 2017-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AK PENDING 05

Office Location

Street Address 1650 COWLES ST
City FAIRBANKS
State AK
Zip Code 99701-5907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629077938 Owen Quigley Hanley Internal Medicine 1650 Cowles St, Fairbanks, AK 99701-5998 2005-07-19
1083235212 Heather Garman Respiratory Therapist, Certified 1650 Cowles St, Fairbanks, AK 99701-5907 2020-04-28
1457982357 Sarah Ollenburger Dietitian, Registered 1650 Cowles St, Fairbanks, AK 99701-5907 2020-01-29
1972133619 Amanda Ward Registered Nurse 1650 Cowles St, Fairbanks, AK 99701-5907 2020-01-22
1568938975 Jim Kirby Button Pharmacist 1650 Cowles St, Fairbanks, AK 99701-5907 2018-10-23
1629559752 Amber J Ross Physician Assistant 1650 Cowles St, Fairbanks, AK 99701-5907 2018-08-27
1497255079 Kimberly J Bilsky Registered Nurse 1650 Cowles St, Fairbanks, AK 99701-5907 2018-02-20
1245730555 Brittany Marie Hosler Belknap Nurse Anesthetist, Certified Registered 1650 Cowles St, Fairbanks, AK 99701-5907 2018-02-14
1023548872 Jeri A Reid Physician Assistant 1650 Cowles St, Fairbanks, AK 99701-5907 2017-06-14
1710439765 Richard Panteleeff Pharmacist 1650 Cowles St, Fairbanks, AK 99701-5907 2016-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659984987 Resource Center for Parents & Children, Inc. Social Worker 726 26th Ave, Suite #2, Fairbanks, AK 99701 2020-08-26
1134738982 Aaron Paul Sarauer Behavior Technician 3121 Lathrop St., Fairbanks, AK 99701 2020-07-28
1437715505 Fabienne Rose Marie Siddall Case Manager/Care Coordinator 122 1st Avenue, Fairbanks, AK 99701 2019-05-14
1902461957 Jacqueline Marie Rahm Counselor Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 2019-05-06
1821588989 Corrie Wilson Nurse Practitioner 1025 Barnette Street, Fairbanks, AK 99701 2018-05-15
1922519305 Sarishma Sangeeta Lal Registered Nurse 815 2nd Ave Ste 122, Fairbanks, AK 99701 2017-10-12
1245690569 Christine L Simko Naturopath 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 2016-02-29
1932581600 Jennifer Davis Registered Nurse 1025 West Barnette St., Fairbanks, AK 99701 2015-06-18
1700272705 John D. Zipperer Jr Md, LLC Clinic/Center 751 Old Richardson Hwy., Fairbanks, AK 99701 2015-04-07
1578957460 Mara Justine Becker Physician Assistant 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 2015-03-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427539261 Aimee Johnson Physician Assistant 1640 Cowles St Ste 1, Fairbanks, AK 99701-5908 2018-08-28
1558818864 Adam Nelson Physician Assistant 386 Crestmont Dr, Fairbanks, AK 99709-2450 2016-09-02
1578957460 Mara Justine Becker Physician Assistant 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 2015-03-27
1417111865 Lisa Kathleen Thoene Physician Assistant 3875 Geist Rd Ste E381, Fairbanks, AK 99709-3549 2008-07-15
1912160854 Elizabeth Easley Decker Physician Assistant 1867 Airport Way Ste 120b, Fairbanks, AK 99701-4071 2008-07-09
1073636841 Jan Denapoli Physician Assistant 3419 Airport Way, Suite D, Fairbanks, AK 99709-4761 2007-04-09
1487794566 Craig Stuart Hampton Physician Assistant 2870 Waldheim Dr, Fairbanks, AK 99709-6060 2007-02-07
1316084809 Ryan Clairmont Physician Assistant 201 1st Ave Ste 200, Fairbanks, AK 99701-4848 2007-01-31
1275592230 Duane A. Frampton Physician Assistant 751 Old Richardson Hwy, Ste # 200, Fairbanks, AK 99701-7813 2006-03-20
1871568295 Paul Wood Finch Jr. Physician Assistant 626 2nd St Ste 201b, Fairbanks, AK 99701-3466 2006-02-20
Find all providers in FAIRBANKS

Competitor

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City FAIRBANKS
Zip Code 99701

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Dataset Information

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.

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