MEGAN KILLEEN (NPI# 1275941411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275941411 |
| Entity Type | Individual |
| Full Name | MEGAN KILLEEN |
| Credential | PA-C |
| Practice Address |
434 S Kingsboro Ave Suite 102 Johnstown NY 12095-3822 |
| Mailing Address |
121 Everett Rd Ste 100 Albany NY 12205-1447 |
| Practice Telephone | 5187734242 |
| Mailing Telephone | 5184892663 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2019-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA6336 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 017801 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
017801 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
017801 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922372325 | Megan Killeen | Social Worker | 425 Watertown St, Newton, MA 02458-1131 | 2012-03-02 |
| Street Address |
434 S KINGSBORO AVE SUITE 102 |
| City | JOHNSTOWN |
| State | NY |
| Zip Code | 12095-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631719 | Luz Fabiola Alvarez | Internal Medicine | 434 S Kingsboro Ave, Johnstown, NY 12095-3822 | 2005-12-28 |
| 1730493214 | Janis E Freeman | Nurse Practitioner | 434 S Kingsboro Ave, Johnstown, NY 12095-3822 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245713619 | Kayla Brooks | Registered Nurse | 465 South Perry St., Johnstown, NY 12095 | 2018-09-12 |
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| 1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
| 1700282563 | Karie Nasser | Occupational Therapist | 201 W. Madison Avenue, Johnstown, NY 12095 | 2014-11-06 |
| 1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
| 1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
| 1497053672 | Erin Kelly Drobnack | Occupational Therapist | 2755 St Rt 67, Johnstown, NY 12095 | 2011-03-11 |
| 1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
| 1770730061 | Sarah Elizabeth Liporace | Speech-Language Pathologist | 2714 Ny-29, Johnstown, NY 12095 | 2008-08-19 |
| 1730335761 | Willing Helpers Home for Women Inc. | Assisted Living Facility | 226 West Madison Ave., Johnstown, NY 12095 | 2008-08-11 |
| Find all providers in zip 12095 | ||||
| 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 |
|---|---|---|---|---|
| 1508055641 | Kristi Lynn Paetzel | Physician Assistant | 4840 Larimer Pkwy Bldg 1, Johnstown, CO 80534-9012 | 2007-10-15 |
| 1174561419 | James Mendillo | Physician Assistant | 1450 Scalp Ave Ste 106, Johnstown, PA 15904-3340 | 2006-06-02 |
| 1316903487 | Jennifer L Naylor | Physician Assistant | 1425 Scalp Ave Ste 175, Johnstown, PA 15904-3324 | 2006-04-26 |
| 1396716601 | Melissa Jay Leonardis | Physician Assistant | 334 Bloomfield St, Johnstown, PA 15904 | 2006-01-27 |
| 1386629483 | Joan Venerosa | Physician Assistant | 700 S. Perry St., St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri, Johnstown, NY 12095 | 2005-12-12 |
| 1891301776 | Karen Richtar | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-09-16 |
| 1225643612 | Calli Morgan Smith | Physician Assistant | 100 Susan Dr, Johnstown, PA 15905-2826 | 2020-09-11 |
| 1215546411 | Jessica Miele | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-07-24 |
| 1508480542 | Ellen Kingdom | Physician Assistant | 4397 Ronald Reagan Blvd, Johnstown, CO 80534-6445 | 2020-06-05 |
| 1093355059 | Kristen Thompson | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-01-08 |
| Find all providers in JOHNSTOWN | ||||
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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.