KATHRYN MAE UPAH (NPI# 1184153611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184153611 |
| Entity Type | Individual |
| Full Name | KATHRYN MAE UPAH |
| Other Name | KATHRYN MAE BOCKHAUS |
| Credential | PA-C |
| Practice Address |
498 N Highland St Williamsburg IA 52361-9695 |
| Mailing Address |
498 N Highland St Williamsburg IA 52361 |
| Practice Telephone | 3196686789 |
| Mailing Telephone | 5154472141 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 087811 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
498 N HIGHLAND ST |
| City | WILLIAMSBURG |
| State | IA |
| Zip Code | 52361-9695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237924 | Gregory P Neyman | Emergency Medicine | 498 N Highland St, Williamsburg, IA 52361-9695 | 2005-07-07 |
| 1043661788 | Brian Marovets | Family Medicine | 498 N Highland St, Williamsburg, IA 52361-9695 | 2016-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839307 | Dean A Dirksen | Marriage & Family Therapist | 523 1/2 Court St., Williamsburg, IA 52361 | 2020-10-20 |
| 1063955748 | Sharon Thomsen | Marriage & Family Therapist | 523-1/2 Court St., Williamsburg, IA 52361 | 2016-11-29 |
| 1588958516 | Midwest Counseling, LLC | Community/Behavioral Health | 523 1/2 Court Street, Williamsburg, IA 52361 | 2011-06-07 |
| 1144459736 | Ryan Lee Striegel | Optometrist | 519 Court St, Williamsburg, IA 52361 | 2009-07-06 |
| 1396872966 | Stacy Darnold | Physical Therapist | 518 Elm Street, Williamsburg, IA 52361 | 2007-02-28 |
| 1255444006 | Highland Ridge Care Center, LLC | Nursing Facility/Intermediate Care Facility | 102 Highland Circle, Williamsburg, IA 52361 | 2006-08-16 |
| 1326019845 | Larry D Koenig | Chiropractor | 502 Elm St, Williamsburg, IA 52361 | 2006-02-01 |
| 1942298807 | Mcld Corporation | Pharmacist | 517 Court Street, Williamsburg, IA 52361 | 2005-10-13 |
| 1841836251 | Williamsburg Dental Health Clinic Inc | Durable Medical Equipment & Medical Supplies | 827 S Highland St, Williamsburg, IA 52361 | 2019-11-20 |
| 1104477264 | Kristina Gingerich | Counselor | 523 1/2 Court St, Williamsburg, IA 52361 | 2019-09-20 |
| Find all providers in zip 52361 | ||||
| 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 |
|---|---|---|---|---|
| 1205461589 | Nicholas Aukland | Physician Assistant | 105 Halstead Ln, Williamsburg, VA 23185-8357 | 2020-03-07 |
| 1841859584 | Brittany Sierra Dow | Physician Assistant | 207 Bay View Ln, Williamsburg, KY 40769-2850 | 2019-06-06 |
| 1427513803 | Nicholas Jorge Cordova | Physician Assistant | 109 Teal Way, Williamsburg, VA 23188-1675 | 2019-02-09 |
| 1154676104 | John Lynch | Physician Assistant | 4179 Ambassador Cir, Williamsburg, VA 23188-1450 | 2012-07-16 |
| 1861796534 | Kathleen Marie Kephart | Physician Assistant | 202 Cove Forge Rd, Williamsburg, PA 16693-7138 | 2011-01-10 |
| 1083862098 | Mary Rebecca Stoll | Physician Assistant | 3950 Shore Dr, Williamsburg, MI 49690-9548 | 2008-09-03 |
| 1851365332 | Larry Alton Washburn | Physician Assistant | 5335 Discovery Park Blvd Ste B, Williamsburg, VA 23188-2696 | 2006-02-14 |
| 1871566489 | Gary J Schaub | Physician Assistant | 6100 Us 31 North, Williamsburg, MI 49690 | 2006-02-13 |
| 1396206710 | Debra Statz | Physician Assistant | 400 Sentara Cir Ste 103, Williamsburg, VA 23188-5716 | 2019-03-28 |
| 1881166312 | John Davis Ireland | Physician Assistant | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2018-12-21 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 52361 |
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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.