MR. CHAD YOUNG MCCREADY (NPI# 1144794843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144794843 |
| Entity Type | Individual |
| Full Name | MR. CHAD YOUNG MCCREADY |
| Credential | PA-C |
| Practice Address |
1400 W 4th St Coffeyville KS 67337-3306 |
| Practice Telephone | 6202511200 |
| Mailing Telephone | 6202521639 |
| Mailing Fax Number | 6202521541 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 W 4TH ST |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510764 | Mary Beth Hartley | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2005-07-07 |
| 1902403801 | Bridget Catherine Eloise Vargas | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2020-10-04 |
| 1982229266 | Allison Nichole Littleford | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2020-06-11 |
| 1629579941 | Coffeyville Regional Medical Center, Inc. | Medicare Defined Swing Bed Unit | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2018-02-22 |
| 1205340445 | Julia Dawn Moses | Nurse Anesthetist, Certified Registered | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-11-27 |
| 1700302304 | Judy Ann Carpenter | Nurse Practitioner | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-08-16 |
| 1932629300 | Brock James Juffs | Family Medicine | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-06-26 |
| 1639607781 | Heather Lee Pollet | Registered Nurse | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-06-01 |
| 1740714575 | Peer Medical Imaging Interpretation LLC | Radiology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2017-04-19 |
| 1053862805 | Coffeyville Regional Medical Center Inc | Clinic/Center | 1400 W 4th St, Ste 100, Coffeyville, KS 67337-3306 | 2016-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669725396 | Traeger Nelson Tvedten | Chiropractor | 411 1/2 West 11th Street, Coffeyville, KS 67337 | 2012-10-18 |
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1093047185 | Terry D Powell Radiation Oncologist, Inc. | Radiology | 1400 W 4th St, Radiation Oncology Dept, Coffeyville, KS 67337 | 2010-02-01 |
| 1649446931 | Windsor Place At Home Care LLC | Technician | 415 W 11th, Coffeyville, KS 67337 | 2008-05-06 |
| 1679668115 | Daniel H Chappell | Obstetrics & Gynecology | 801 W 8th St., Coffeyville, KS 67337 | 2006-10-03 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1114026937 | Stephen A Miller | Obstetrics & Gynecology | 1717 West Eighth, Coffeyville, KS 67337 | 2006-09-21 |
| 1285600379 | Coffeyville Regional Medical Center, Inc. | General Acute Care Hospital | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-02-27 |
| Find all providers in zip 67337 | ||||
| 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 |
|---|---|---|---|---|
| 1134561012 | Megan C Nagel | Physician Assistant | 1110 W 8th St, Coffeyville, KS 67337-4116 | 2013-07-22 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1689666026 | Rhonda Michelle Line | Physician Assistant | 801 W 8th St, Coffeyville, KS 67337 | 2005-08-22 |
| 1831486299 | Aaron D Dahle | Physician Assistant | 604 Union St, Coffeyville, KS 67337-6020 | 2011-07-06 |
| 1720179625 | Health Partners of America LLC | Physician Assistant | 1411 W 4th St, Suite G, Coffeyville, KS 67337 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567783 | Shelby Stewart | Physician Assistant | 1409 Washington Cir, Hays, KS 67601-4716 | 2020-10-27 |
| 1154935724 | Kendra Elizabeth Rogers | Physician Assistant | 8111 Quivira Rd Apt 12106, Lenexa, KS 66215-2772 | 2020-09-01 |
| 1962020024 | Cody Allen Miller | Physician Assistant | 7201 W 80th St Apt 602, Overland Park, KS 66204-3773 | 2020-07-06 |
| 1881210417 | Jordan Rachelle Haya | Physician Assistant | 607 Prairie Ave, Maple Hill, KS 66507-9808 | 2020-06-19 |
| 1881219483 | Sheila Mwadime | Physician Assistant | 10245 Millstone Dr Apt 7110, Lenexa, KS 66220-2711 | 2020-06-10 |
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1194348706 | Andrew John Lopata | Physician Assistant | 1315 N Walnut St, Mcpherson, KS 67460-2434 | 2020-05-19 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1033731674 | Sydnee Rose Eck | Physician Assistant | 345 Sevy, Andale, KS 67001-4003 | 2020-05-16 |
| Find all providers with the same taxonomy | ||||
| City | COFFEYVILLE |
| Zip Code | 67337 |
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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.