MR. MICHAEL ALAN PEALO (NPI# 1083855365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083855365 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ALAN PEALO |
| Credential | LPN |
| Practice Address |
4519 Williamson Rd Marion NY 14505-9302 |
| Practice Telephone | 5858802182 |
| Mailing Telephone | 5858802182 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 278231 | NY | Nursing Service Providers |
| Street Address |
4519 WILLIAMSON RD |
| City | MARION |
| State | NY |
| Zip Code | 14505-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1205382926 | Laurie M Savory | Registered Nurse | 4599 Witherden Rd, Marion, NY 14505 | 2016-09-01 |
| 1801267455 | Jaime Campbell | Speech-Language Pathologist | 4610 Smith Rd, Marion, NY 14505 | 2015-10-08 |
| 1477820876 | Trena Fisher | Registered Nurse | 4034 Warner Road, Marion, NY 14505 | 2011-11-30 |
| 1437147717 | Marion Pharmacy, Inc. | Pharmacy | 3803 South Main St., Marion, NY 14505 | 2005-10-11 |
| 1497133342 | Theresa Martin | Family Medicine | 3669 Countryside Ln, Marion, NY 14505 | 2015-05-12 |
| 1497033658 | David Farley Scoville | Veterinarian | 4073 Warner Road, Marion, NY 14505 | 2011-07-21 |
| 1639490550 | Lucas A.g. Keith | Internal Medicine | 3669 Countryside Ln, Marion, NY 14505 | 2010-06-15 |
| 1467577627 | Paul Edward Johnson | Pharmacist | 3803 South Main St, Marion, NY 14505-0047 | 2007-03-20 |
| 1073060877 | Kristin Renee Forte | Dental Hygienist | 4545 Williamson Rd, Marion, NY 14505-9302 | 2016-09-08 |
| Find all providers in zip 14505 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306493390 | Mary (niki) Williams | Licensed Practical Nurse | 133 E Center St, Marion, OH 43302-3801 | 2019-08-23 |
| 1033774690 | Deedee Wilfong | Licensed Practical Nurse | 708 E Bradford St, Marion, IN 46952-2959 | 2019-05-08 |
| 1033688692 | Megan Marie Dowdy | Licensed Practical Nurse | 520 Oak St, Marion, OH 43302-2207 | 2018-11-13 |
| 1295215374 | Andrew Vernon Easton II | Licensed Practical Nurse | 1143 Midway Ct Apt D, Marion, IL 62959-1591 | 2018-08-17 |
| 1114404100 | Brittni Horn | Licensed Practical Nurse | 1390 Bellefontaine Ave, Marion, OH 43302-7049 | 2018-07-23 |
| 1902325053 | Kimberly Throckmorton | Licensed Practical Nurse | 204 Bain Ave, Marion, OH 43302-4014 | 2017-09-10 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1124550314 | Carrie Kindred | Licensed Practical Nurse | 3114 Burris Dr, Marion, OH 43302-8608 | 2017-03-28 |
| Find all providers in MARION | ||||
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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.