KNOWLTON FAMILY PRACTICE (NPI# 1225410830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225410830 |
| Entity Type | Organization |
| Organization Name | KNOWLTON FAMILY PRACTICE |
| Practice Address |
1001 Pike St 7a Marietta OH 45750-3515 |
| Practice Telephone | 7406298528 |
| Mailing Telephone | 7406298528 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Authorized Official Name | LESLY KNOWLTON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7406298528 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NP08402 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2645310 | 05 | |
| OH | 3810011090 | 05 |
| Street Address |
1001 PIKE ST 7A |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647929 | Medical Services of America Inc | Emergency Response System Companies | 1001 Pike St, Ste 3, Marietta, OH 45750-3516 | 2005-11-21 |
| 1356479646 | Donald Raymond Kiser | Family Medicine | 1001 Pike St, Suite 3, Marietta, OH 45750-3515 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043861545 | Careatc | Clinic/Center | 2130 Northwest Pkwy Se Ste H, Marietta, GA 30067-9307 | 2019-09-25 |
| 1205388980 | Careatc-quicktrip Atlanta-glenridge | Clinic/Center | 2130 Northwest Pkwy Se, Suite H, Marietta, GA 30067-9307 | 2016-10-28 |
| 1083071773 | Irshad Syed Md LLC | Clinic/Center | 2382 Monte Villa Cts, Marietta, GA 30062-2899 | 2016-01-26 |
| 1144500117 | Ann Drake Thomas M.d.,p.c. | Clinic/Center | 670 Canton Rd Ne, Suite A, Marietta, GA 30060-8952 | 2011-08-23 |
| 1194047050 | Cobb Pediatrics, P.C. | Clinic/Center | 410 Villa Rica Way Sw, Marietta, GA 30064-5741 | 2010-02-19 |
| 1255562757 | Williams Wellness Center | Clinic/Center | 2799 Delk Rd Se, Suite 100, Marietta, GA 30067-6247 | 2009-07-31 |
| 1871752410 | Pearl Medical & Associates, LLC | Clinic/Center | 2550 Windy Hill Rd Se Ste 109, Marietta, GA 30067-8607 | 2008-06-09 |
| 1437668548 | Health and Spine Clinic Corp | Clinic/Center | 2475 Windy Hill Rd Se, Marietta, GA 30067-8604 | 2017-09-21 |
| 1003356361 | Proactive Physicians of Marietta, PC | Clinic/Center | 790 Church St Ne, Suite 220, Marietta, GA 30060-7282 | 2017-03-06 |
| 1891234118 | Kennestone Family Medicine | Clinic/Center | 72 Plaza Way Nw, Marietta, GA 30060-1104 | 2017-02-20 |
| Find all providers in MARIETTA | ||||
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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.