KELLY ANN GUERRA (NPI# 1154631810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154631810 |
| Entity Type | Individual |
| Full Name | KELLY ANN GUERRA |
| Credential | PA-C |
| Practice Address |
Us Army Hc - Rock Island Arsenal Health Clinic (riahc) Attn: Mcxm-dmc, Bldg. 110 (basement) Rock Island Arsenal IL 61299 |
| Mailing Address |
Us Army Hc - Rock Island Arsenal Health Clinic (riahc) Attn: Mcxm-dmc, Bldg. 110 (basement) Rock Island Arsenal IL 61299-7240 |
| Practice Telephone | 3097829604 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | 1092284 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Us Army Hc - Rock Island Arsenal Health Clinic (riahc), Attn: Mcxm-dmc, Bldg. 110 (basement), Rock Island Arsenal, IL 61299 | 3097829604 |
| Street Address |
US ARMY HC - ROCK ISLAND ARSENAL HEALTH CLINIC (RIAHC) ATTN: MCXM-DMC, BLDG. 110 (BASEMENT) |
| City | ROCK ISLAND ARSENAL |
| State | IL |
| Zip Code | 61299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583631 | Robert Thomas Pero | Preventive Medicine | Building 110 South Rodman Avenue, Rock Island Arsenal, IL 61299 | 2006-01-19 |
| 1942783246 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 | 2018-09-12 |
| 1841405388 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 110 Rodman Ave, Rock Island, IL 61299-0001 | 2007-05-10 |
| 1720185572 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Pharm Bldg 110, Usa Health Clinic, Rock Island, IL 61299-0001 | 2006-09-20 |
| 1457453037 | Joseph Anthony Bowen | Technician, Other | 218 Rock Island Ave, Rock Island, IL 61299-0001 | 2006-09-02 |
| 1457835456 | Blanchfield Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Pharm Usa Health Clinic, Rock Island, IL 61299-0001 | 2018-09-17 |
| 1164612636 | Rita Baugh | Social Worker | Rock Island Arsenal, Gillespie St. Bldg. 131, Rock Island, IL 61299-5001 | 2007-07-30 |
| 1912313222 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 110 Rodman Ave., Rock Island Arsenal, IL 61299-7240 | 2014-07-08 |
| 1033199195 | Arthur B Cajigal | Preventive Medicine | Rock Island Arsenal Health Clinic (riahc), Bldg 110 (basement), Rock Island, IL 61299-7240 | 2006-01-17 |
| 1306824925 | Jeffery M Jauron | Family Medicine | Rock Island Arsenal, 1 Rock Island, Rock Island, IL 61299-7240 | 2006-01-04 |
| Find all providers in zip 61299 | ||||
| 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 |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | ROCK ISLAND ARSENAL |
| Zip Code | 61299 |
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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.