MR. ROBERT S KOELEWYN (NPI# 1326231465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326231465 |
| Entity Type | Individual |
| Full Name | MR. ROBERT S KOELEWYN |
| Credential | LABORATORY DIRECTOR |
| Practice Address |
330 Campus Dr Hanford CA 93230-4375 |
| Practice Telephone | 5595841401 |
| Practice Fax Number | 5595838178 |
| Mailing Telephone | 5595841401 |
| Mailing Fax Number | 5595838178 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
330 CAMPUS DR |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305377 | Michelle E Conway | Nurse Practitioner | 330 Campus Dr, Hanford, CA 93230-4375 | 2006-05-22 |
| 1194355891 | Salina Ramirez | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2020-01-22 |
| 1235618299 | Wellness for Life | Clinic/Center | 330 Campus Dr, Hanford, CA 93230-4375 | 2018-08-10 |
| 1750893913 | Joanne Cube | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2017-10-27 |
| 1669902607 | Ashley Greene | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2017-06-13 |
| 1356891501 | Tami M Terrazas | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2016-10-12 |
| 1023474020 | Amanda Glass | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2016-01-06 |
| 1598197444 | Kings County Department of Public Health | Public Health or Welfare | 330 Campus Dr, Hanford, CA 93230-4375 | 2013-08-02 |
| 1306285853 | Heather Belle Jablonski | Registered Nurse | 330 Campus Dr, Hanford, CA 93230-4375 | 2013-06-18 |
| 1578822797 | King County Health Dept | Clinical Medical Laboratory | 330 Campus Dr, Hanford, CA 93230-4375 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
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| 1851915888 | Pangea Laboratory LLC | Pathology | 3189 Red Hill Ave Ste D, Costa Mesa, CA 92626-3426 | 2020-06-05 |
| 1851913354 | The Laab LLC | Pathology | 664b W Broadway, Glendale, CA 91204-1008 | 2020-05-07 |
| 1811492028 | Andy Madoyan | Pathology | 1737 E Washington Blvd Ste 5, Pasadena, CA 91104-2772 | 2018-03-28 |
| 1972045110 | Anthony Butch | Pathology | 2122 Granville Ave, Los Angeles, CA 90095-6106 | 2016-11-04 |
| 1730589102 | Dale Ann Schwab | Pathology | 5785 Corporate Ave, Cypress, CA 90630-4726 | 2014-09-03 |
| 1992366843 | Tharanga Niroshini Senaratne | Pathology | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2019-06-21 |
| 1205494218 | Jack Ji | Pathology | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2019-06-04 |
| 1831753839 | Daniel Yue-king Chan | Pathology | 430 S Cataract Ave, San Dimas, CA 91773-2902 | 2019-04-24 |
| 1265700660 | Ketevan Gendzekhadze | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2011-12-13 |
| 1811295165 | Athena M Cherry | Pathology | 3375 Hillview Ave, Room 2809, Palo Alto, CA 94304-1204 | 2011-03-10 |
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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.