MAKAYLA MEDEIROS (NPI# 1336762699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336762699 |
| Entity Type | Individual |
| Full Name | MAKAYLA MEDEIROS |
| Practice Address |
250 Ceda Rd Charlestown NH 03603-4511 |
| Mailing Address |
238 Base Hill Rd Unit 67 Keene NH 03431-5930 |
| Practice Telephone | 6038265711 |
| Mailing Telephone | 7742197140 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 055.0031476 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 1639 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
250 CEDA RD |
| City | CHARLESTOWN |
| State | NH |
| Zip Code | 03603-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364895 | Alexander George Protosevich | Physician Assistant | 250 Ceda Rd, Charlestown, NH 03603-4511 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851506646 | Fall Mountain Regional School District | Local Education Agency (LEA) | 159 East Street, Charlestown, NH 03603 | 2007-05-14 |
| 1487722260 | George H. Grabe | Dentist | 275 Main St., Charlestown, NH 03603 | 2006-12-01 |
| 1780601419 | Clare Barrett Gowen | Physical Therapist | 23 Caryl Lane, Weeks and Gowen Pt Associates Inc, Charlestown, NH 03603 | 2006-07-17 |
| 1558334656 | Cecilia M Vicuna Keady | Family Medicine | 157 Main Street, Charlestown, NH 03603 | 2006-02-09 |
| 1750391397 | Tammy Lee Nash | Physical Therapist | 23 Caryl Lane, Weeks and Gowen Physical Therapy Associates Inc, Charlestown, NH 03603 | 2006-08-08 |
| 1215954946 | Weeks and Gowen Physical Therapy Associates Inc | Physical Therapist | 23 Caryl Lane, Charlestown, NH 03603 | 2006-07-17 |
| 1548234040 | Daniel Caloras | Family Medicine | 125 Main St, Charlestown, NH 03603 | 2006-02-14 |
| 1407828247 | Springfield Hospital | Family Medicine | 125 Main St, Charlestown, NH 03603 | 2006-02-06 |
| 1720129695 | Terrell G Klema | Chiropractor | 296 Main St., Charlestown, NH 03603-0077 | 2007-02-12 |
| 1922149897 | Brendan A. Klema | Chiropractor | 296 Main St, Charlestown, NH 03603-0077 | 2007-02-12 |
| Find all providers in zip 03603 | ||||
| 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 |
|---|---|---|---|---|
| 1629685383 | Trisha Auduong | Physician Assistant | 42 8th St Apt 1310, Charlestown, MA 02129-4215 | 2020-09-28 |
| 1649809047 | Amanda Marie Bush | Physician Assistant | 7203 Vesta Rd, Charlestown, IN 47111-9302 | 2020-04-07 |
| 1093364895 | Alexander George Protosevich | Physician Assistant | 250 Ceda Rd, Charlestown, NH 03603-4511 | 2019-09-05 |
| 1871052548 | Christine Rose Mcgrail | Physician Assistant | 300 1st Ave Ste 2105, Charlestown, MA 02129-3109 | 2019-03-13 |
| 1639798416 | Meagan Murtagh | Physician Assistant | 36 1st Ave, Charlestown, MA 02129-4557 | 2020-04-13 |
| 1518503077 | Ikenna Chibuzor Neboh | Physician Assistant | 36 1st Ave, Charlestown, MA 02129-4557 | 2019-11-20 |
| 1841672136 | Elizabeth Muscatiello | Physician Assistant | 75 W School St, Unit 510, Charlestown, MA 02129-2931 | 2015-06-23 |
| 1184053423 | Rebecca Rivera | Physician Assistant | 7725 Highway 62 Ste 100, Charlestown, IN 47111 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151959 | Sara Sverker | Physician Assistant | 11b Danville Rd, Plaistow, NH 03865-2719 | 2020-10-15 |
| 1306444641 | Zachary Wright | Physician Assistant | 11 Harley Ln, Salem, NH 03079-2888 | 2020-10-09 |
| 1619584869 | Elizabeth Fiorentino | Physician Assistant | 500 Market St Unit 1e, Portsmouth, NH 03801-3456 | 2020-09-30 |
| 1861009334 | Sarah Elizabeth Smith | Physician Assistant | 10 Hampshire Hills Dr, Bow, NH 03304-4920 | 2020-09-28 |
| 1366050841 | Richard Charity | Physician Assistant | 44 Adams Pond Rd, Derry, NH 03038-5013 | 2020-07-21 |
| 1578183927 | Cara Weiner | Physician Assistant | 200 Old Dublin Rd, Peterborough, NH 03458-1335 | 2020-04-24 |
| 1871126581 | Ernest K Tabiri | Physician Assistant | 12 Fairway Dr Apt 1412, Derry, NH 03038-6156 | 2020-02-20 |
| 1578103479 | Mary Seaman | Physician Assistant | 497 Hooksett Rd # 142, Manchester, NH 03104-2632 | 2020-01-09 |
| 1144869546 | Jared W Swain | Physician Assistant | 7 Kimball St Apt 20, Lebanon, NH 03766-1736 | 2020-01-02 |
| 1275184970 | Jillian Mccolgan | Physician Assistant | 111 Nh Ave Ste 2, Portsmouth, NH 03801-2864 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTOWN |
| Zip Code | 03603 |
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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.