TIMOTHY J. KAPPES (NPI# 1306841515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306841515 |
| Entity Type | Individual |
| Full Name | TIMOTHY J. KAPPES |
| Credential | PA-C |
| Practice Address |
47 Cavalier Blvd Ste 100 Florence KY 41042-3970 |
| Practice Telephone | 8596477800 |
| Practice Fax Number | 8596477803 |
| Mailing Telephone | 8596477800 |
| Mailing Fax Number | 8596477803 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 50-00-0629 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA089 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95000899 | 05 |
| Street Address |
47 CAVALIER BLVD STE 100 |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-3970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674391 | Summer Marie Trenkamp | Nurse Practitioner | 47 Cavalier Blvd, Florence, KY 41042-3969 | 2020-03-21 |
| 1538404132 | Kumar Dialysis LLC | Clinic/Center | 47 Cavalier Blvd, Florence, KY 41042-3969 | 2012-12-07 |
| 1811231954 | Robert J Klickovich Md | Pain Medicine | 47 Cavalier Blvd, Suite 100, Florence, KY 41042-3969 | 2012-11-15 |
| 1548434947 | Interventional Pain Specialist | Registered Nurse | 47 Cavalier Blvd, Suite 100, Florence, KY 41042-3969 | 2008-04-16 |
| 1669676383 | Kidney Disease Consultants | Internal Medicine | 47 Cavalier Blvd, Suite 120, Florence, KY 41042-3969 | 2007-06-14 |
| 1649204306 | Robert J Klickovich | Anesthesiology | 47 Cavalier Blvd, Ste 100, Florence, KY 41042-3969 | 2006-07-10 |
| 1447296538 | Deepak Mittal | Internal Medicine | 47 Cavalier Blvd, Suite 120, Florence, KY 41042-3969 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1922625185 | Michael O'brien | Physician Assistant | 70 Acrebrook Dr, Florence, MA 01062-3421 | 2020-07-02 |
| 1669099677 | Brittany Nicole Rafferty | Physician Assistant | 903 Schisler Dr, Florence, NJ 08518-2803 | 2020-06-26 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1538715784 | Jeffre Rogers Mccutcheon | Physician Assistant | 200 W Evans St, Florence, SC 29501-3469 | 2019-08-14 |
| 1992272470 | Hope Lee | Physician Assistant | 800 E Cheves Street Ste 350, Florence, SC 29506-4765 | 2018-11-01 |
| 1982062642 | Andrew Coleman | Physician Assistant | 205 Marengo St., Eliza Coffee Memorial Hospital, Florence, AL 35636 | 2016-02-09 |
| 1619352259 | Jordan Mcclure | Physician Assistant | 7683 Mall Rd Unit B, Florence, KY 41042-1590 | 2015-07-24 |
| 1134460561 | Julie Marie Clement | Physician Assistant | 971 Jason Lopez Cir Stop B, Florence, AZ 85132-2502 | 2013-03-11 |
| 1740359314 | Kevin Hall | Physician Assistant | 660 South Main Street, Florence, AZ 85232 | 2006-11-07 |
| Find all providers in FLORENCE | ||||
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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.