THERESA MARIE PICKELL (NPI# 1306460076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306460076 |
| Entity Type | Individual |
| Full Name | THERESA MARIE PICKELL |
| Credential | PA-C |
| Practice Address |
190 E State St Montrose MI 48457-9144 |
| Practice Telephone | 8106392056 |
| Mailing Telephone | 8106392056 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601009931 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8434 N Saginaw Rd, Mount Morris, MI 484581190 | 8106861997 | |
| 401 S Ballenger Hwy, Flint, MI 485323638 | 8103422000 | |
| 1227 Summit St, Lapeer, MI 484463919 | 8109694546 |
| Street Address |
190 E STATE ST |
| City | MONTROSE |
| State | MI |
| Zip Code | 48457-9144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407829302 | Deborah Kay Conlon | Family Medicine | 190 E State St, Montrose, MI 48457-9144 | 2006-02-10 |
| 1043785165 | Jessica Nolan | Nurse Practitioner | 190 E State St, Montrose, MI 48457-9144 | 2018-10-04 |
| 1952707523 | Montrose After Hours Clinic Pllc | Clinic/Center | 190 E State St, Montrose, MI 48457-9144 | 2014-11-10 |
| 1447536479 | Kelly A Kilbreath | Nurse Practitioner | 190 E State St, Montrose, MI 48457-9144 | 2011-10-21 |
| 1619192705 | Larry Alton Do PC | Nurse Practitioner | 190 E State St, Montrose, MI 48457-9144 | 2007-04-16 |
| 1326183989 | Samuel Dyka | Physician Assistant | 190 E State St, Montrose, MI 48457-9144 | 2007-02-21 |
| 1396889242 | Montrose Family Medicine Associates PC | Family Medicine | 190 E State St, Montrose, MI 48457-9144 | 2007-02-16 |
| 1790752947 | Larry Alton | Family Medicine | 190 E State St, Montrose, MI 48457-9144 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528437977 | Corinne Sue Hill | Registered Nurse | 204 West State St, Montrose, MI 48457 | 2015-09-16 |
| 1083080832 | Lucille Miller | Registered Nurse | 204 West State Street, Montrose, MI 48457 | 2015-08-17 |
| 1548397904 | Robin C Ballard Dds PC | Dentist | 226 W State St, Montrose, MI 48457 | 2007-02-27 |
| 1740334887 | Jaime Anne Nowicki Abbott | Dentist | 106 Nanita Dr, Montrose, MI 48457 | 2007-01-23 |
| 1063889038 | Josephine Irwin | Licensed Practical Nurse | 204 W State St, Montrose, MI 48457 | 2015-08-26 |
| 1316198260 | Kathleen Sue Burke | Community Based Residential Treatment Facility, Mental Illness | 138 Washington, Montrose, MI 48457-7719 | 2008-10-08 |
| 1356417034 | Tonia Lynn Maitland | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12237 Marshall Rd, Montrose, MI 48457-8802 | 2006-11-27 |
| 1679017396 | Sharlyn Matthews | Licensed Practical Nurse | 204 W. State Street, Montrose, MI 48457-9004 | 2016-12-14 |
| 1871680215 | Friends Who Care-montrose, LLC | Home Health | 276 E State St, Montrose, MI 48457-9004 | 2006-10-06 |
| 1366073231 | Amanda M Lawrence | Pharmacist | 225 E State St, Montrose, MI 48457-9004 | 2020-01-30 |
| Find all providers in zip 48457 | ||||
| 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 |
|---|---|---|---|---|
| 1629515606 | Kirk Miller | Physician Assistant | 16985 N 2400th St, Montrose, IL 62445-5004 | 2017-01-27 |
| 1124344080 | Chris K Polsley | Physician Assistant | 836 S. Townsend, Suite A, Montrose, CO 81401 | 2010-04-15 |
| 1689891491 | Elizabeth Ashley Singleton | Physician Assistant | 836 S Townsend Ave Ste C, Montrose, CO 81401-4360 | 2007-04-20 |
| 1598786865 | Norman Lee Dockins | Physician Assistant | 1550 E. Niagara Road, Peak Family Medicine, Montrose, CO 81401-5027 | 2006-07-22 |
| 1902876246 | Marla D Beavers | Physician Assistant | 1563 Ogden Rd, Montrose, CO 81401-5683 | 2006-01-26 |
| 1245854579 | Sidney Carol Wallin | Physician Assistant | 2094 Albany Post Road, Montrose, NY 10548 | 2020-06-02 |
| 1356989768 | Tiffany Joy Bermudez | Physician Assistant | 1550 E Niagara Rd, Montrose, CO 81401-5027 | 2019-12-16 |
| 1467912089 | Greta Mae Hoffman | Physician Assistant | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-03-20 |
| 1881095297 | Kerri Ann Portanova | Physician Assistant | 100 Hospital Dr, Montrose, PA 18801-6402 | 2014-09-05 |
| 1831507805 | Integrated Dermatology of Montrose, LLC | Physician Assistant | 3480 Wolverine Dr, Suite F, Montrose, CO 81401-4965 | 2014-07-23 |
| Find all providers in MONTROSE | ||||
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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.