AGNES WARHOVER (NPI# 1346432929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346432929 |
| Entity Type | Individual |
| Full Name | AGNES WARHOVER |
| Other Name | AGNES WARHOVER KOTAREK |
| Credential | PA |
| Practice Address |
1207 Fairchild Ct Woodland CA 95695 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306682600 |
| Practice Fax Number | 5306627330 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA18641 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1207 FAIRCHILD CT |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180975 | Karen T Hopp | Family Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2005-10-28 |
| 1619354339 | Jason Michael Lee | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2015-05-01 |
| 1710306659 | Jonathan D Funk | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2014-04-08 |
| 1629335427 | Amy Ruth Glick | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695 | 2012-04-18 |
| 1679898175 | Amy L. Ledgerwood | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2010-03-29 |
| 1558518464 | Sarah E Telles | Psychiatry & Neurology | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-08-21 |
| 1851550644 | Clara Cazares | Social Worker | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2008-06-05 |
| 1356553317 | Cong Zhang | Internal Medicine | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2007-05-04 |
| 1801955216 | Betty Lynn Mcnamara | Audiologist | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2006-12-08 |
| 1851494231 | Dignity Community Care | Home Health | 1207 Fairchild Ct, Woodland, CA 95695-4321 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
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| 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 |
|---|---|---|---|---|
| 1609321900 | Jeremiah Lewis | Physician Assistant | 18384 Mandarin St, Woodland, CA 95695-6013 | 2016-08-17 |
| 1487862793 | Maria Francina Degracia | Physician Assistant | 1630 Donner Way, Woodland, CA 95695-5564 | 2007-05-18 |
| 1821158882 | James Kevin Hart | Physician Assistant | 76 County Road, Suite 3, Woodland, AL 36280 | 2006-12-11 |
| 1922101922 | Marge Lee | Physician Assistant | 215 W Beamer St, Woodland, CA 95695-2510 | 2006-09-06 |
| 1972061513 | Philip Joseph Ross II | Physician Assistant | 527 2nd St, Woodland, WA 98674-8486 | 2019-03-02 |
| 1922519222 | Sarah Leslie Thrasher | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-10-13 |
| 1184160301 | Aleksandr Palenyy | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2017-01-11 |
| 1033661897 | Ofili Okolonwamu | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2016-10-27 |
| 1245687052 | Carlos J Pena | Physician Assistant | 1325 Cottonwood St, Woodland, CA 95695-5131 | 2016-05-21 |
| 1023480159 | Isaac Dominguez | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2015-10-28 |
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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.