KELLY LYNN MCGRATH (NPI# 1407129414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407129414 |
| Entity Type | Individual |
| Full Name | KELLY LYNN MCGRATH |
| Credential | PA |
| Practice Address |
2605 E Creeks Edge Dr Bloomington IN 47401-8368 |
| Practice Telephone | 8123332663 |
| Practice Fax Number | 8123499206 |
| Mailing Telephone | 8123332663 |
| Mailing Fax Number | 8123499206 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002267A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0010-04175 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 789 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540323 | Kelly Mcgrath | 22 S Athol Ave, Baltimore, MD 21229-3405 | 2020-08-28 | |
| 1942731856 | Kelly Mcgrath | Registered Nurse | 1625 Carroll Ave, San Francisco, CA 94124-3219 | 2017-03-22 |
| 1417106410 | Kelly Ann Mcgrath | Licensed Vocational Nurse | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2008-09-15 |
| 1558518324 | Kelly Mcgrath | Pharmacist | 13000 Bruce B Downs Blvd, Pharmacy Service (119), Tampa, FL 33612-4745 | 2008-08-25 |
| 1609871060 | Kelly Mcgrath | Family Medicine | 301 Cedar St, Orofino, ID 83544-9029 | 2005-06-14 |
| Street Address |
2605 E CREEKS EDGE DR |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-8368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043282 | Narcisa Codruta German | Internal Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2005-06-16 |
| 1649837469 | Bailee Rochelle Keen | Specialist/Technologist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2019-05-28 |
| 1851881221 | Dana Marie Beals | Dietitian, Registered | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2018-05-11 |
| 1326549106 | David H Schroeder | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2018-02-27 |
| 1942715545 | Scott T Schroeder | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-12-06 |
| 1730693128 | Rachael D Norton | Occupational Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-22 |
| 1134632979 | Jan Marlene Newell | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-15 |
| 1265944912 | Emily Mcclain | Occupational Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-02 |
| 1609388404 | Christopher A Gales | Physical Therapist | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-11-02 |
| 1578082350 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1386292886 | Quinn Harmon | Physician Assistant | 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403-2001 | 2019-08-28 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1730619487 | Elise Nicole Lill | Physician Assistant | 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 | 2017-06-15 |
| 1528417557 | Kathryn Shalbrack | Physician Assistant | 4300 Marketpointe Dr, Bloomington, MN 55435-5423 | 2016-06-09 |
| 1740634203 | Alfonso Luna IIi | Physician Assistant | 657 S Lancewood Ave, Bloomington, CA 92316-1336 | 2016-04-20 |
| 1215308671 | Sara Ann Houk | Physician Assistant | 2200 E. Washington St, Bloomington, IL 61701-4323 | 2015-10-12 |
| 1760865133 | Patrick D Machacek | Physician Assistant | 10633 Vincent Ave S, Bloomington, MN 55431-3733 | 2015-07-03 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
Please comment or provide details below to improve the information on KELLY LYNN MCGRATH.
| 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.