MS. VALERIE L POULOS (NPI# 1346345865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346345865 |
| Entity Type | Individual |
| Full Name | MS. VALERIE L POULOS |
| Credential | PA-C |
| Practice Address |
43 W Main St Donald Walker Health Center Liberty ME 04949-3400 |
| Mailing Address |
118 Northport Ave Belfast ME 04915-6009 |
| Practice Telephone | 2075894509 |
| Mailing Telephone | 2075894509 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-373 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA142 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
43 W MAIN ST DONALD WALKER HEALTH CENTER |
| City | LIBERTY |
| State | ME |
| Zip Code | 04949-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043430754 | Liberty Volunteer Ambulance Service | Ambulance | West Main Street, Liberty, ME 04949 | 2007-04-26 |
| 1023217866 | Christopher J Walker | Nurse Practitioner | 43 West Main Street, Liberty, ME 04949 | 2007-07-12 |
| 1437226453 | Steven G Wilson | Family Medicine | 43 West Main Street, Liberty, ME 04949 | 2006-11-29 |
| 1164598090 | Waldo County General Hospital | Clinic/Center | 43 West Main Street, Liberty, ME 04949 | 2006-11-24 |
| 1639414071 | Ronald J Creamer | Community Health Worker | 25 Lake St George Ter, Liberty, ME 04949-3132 | 2012-12-11 |
| 1891392312 | Donna Lynn Walsh | Dietitian, Registered | 10 Stagecoach Rd, Liberty, ME 04949-3133 | 2020-10-07 |
| 1134565922 | Heather Ricker Morris | Social Worker | 20 Snow Village Rd, Liberty, ME 04949-3338 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962563 | Cassycel Thigpen | Psychologist | 4894a Highway 584 Liberty, 4894a Highway 584 Liberty, Liberty, MS 39645 | 2020-11-05 |
| 1235730466 | Inline Chiropractic Center, LLC | Chiropractor | 244 W Mill St Ste 105, Liberty, MO 64068-2398 | 2020-11-04 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1013516442 | So Awesome Health Services LLC | In Home Supportive Care | 1517 Galway Ct, Liberty, MO 64068-3392 | 2020-10-16 |
| 1891392312 | Donna Lynn Walsh | Dietitian, Registered | 10 Stagecoach Rd, Liberty, ME 04949-3133 | 2020-10-07 |
| 1114532710 | Candy Moore | Technician | 15956 Mclane Pike, Liberty, WV 25124-7248 | 2020-09-10 |
| 1033721659 | Breanna Moore | Technician | 15946 Mclane Pike, Liberty, WV 25124 | 2020-08-17 |
| 1003425448 | Herbert Douglas Geiger | Counselor | 949 Wellington Way, Liberty, MO 64068-1481 | 2020-07-30 |
| 1013532001 | Aspen Wayment | Student in an Organized Health Care Education/Training Program | 2531 Shaw Dr, Liberty, UT 84310-9705 | 2020-06-15 |
| Find all providers in LIBERTY | ||||
| 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 |
|---|---|---|---|---|
| 1245872639 | Mindy Allen | Physician Assistant | 1256 Woodrum Ridge Rd, Liberty, KY 42539-7757 | 2019-10-17 |
| 1588032106 | Joel Mpolesha | Physician Assistant | 2521 Glenn Hendren Dr Ste 308, Liberty, MO 64068-3388 | 2015-09-14 |
| 1659793651 | Kelcye Yates Richards | Physician Assistant | 300 West Front Street, Liberty, SC 29657-1012 | 2014-01-09 |
| 1891946315 | Lisa Leanne Hauerland | Physician Assistant | 2521 Glenn Hendren Dr Ste 310, Liberty, MO 64068-3388 | 2008-10-02 |
| 1598742066 | Nathan W Conroy | Physician Assistant | 525 W Swannanoa Ave, Liberty, NC 27298-3136 | 2005-12-27 |
| 1235673872 | Deer Valley Emergency Physicians LLC | Physician Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2016-12-16 |
| 1972941979 | Clay Emergency Group LLC | Physician Assistant | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2013-06-12 |
| 1023369212 | Abigail Boethin | Physician Assistant | 2521 Glenn Hendren Dr, Ste 306, Liberty, MO 64068-3388 | 2012-09-27 |
| 1487889960 | Heather Reed | Physician Assistant | 1353 N Travis St, Liberty, TX 77575-3549 | 2009-05-27 |
| 1477689172 | Hilary Ann Shuffett | Physician Assistant | 112 Liberty Sq, Liberty, KY 42539-3392 | 2007-02-26 |
| Find all providers in LIBERTY | ||||
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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.