KATHRYN L PRENDERGAST (NPI# 1427000702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427000702 |
| Entity Type | Individual |
| Full Name | KATHRYN L PRENDERGAST |
| Credential | PA |
| Practice Address |
1343 N Fountain Blvd Springfield OH 45504-1422 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 9373905000 |
| Practice Fax Number | 9373905526 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194231 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50000711 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAIL ROAD MEDICARE | P00034017 | 01 |
| Street Address |
1343 N FOUNTAIN BLVD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45504-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751382 | Richard Ward Furay | Surgery | 1343 N Fountain Blvd, 2nd Floor Imaging Center, Springfield, OH 45504-1422 | 2005-06-24 |
| 1487289823 | April Theresa Hickman | Nurse Practitioner | 1343 N Fountain Blvd, Springfield, OH 45504-1461 | 2020-03-05 |
| 1205063161 | Mark Tomsic | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45504-1422 | 2009-06-18 |
| 1588836597 | Springfield Regional Anesthesia, Inc | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45504-1422 | 2008-03-31 |
| 1821285263 | Robin Schneider | Counselor | 1343 N Fountain Blvd, Community Mercy Reach, Springfield, OH 45504 | 2007-10-01 |
| 1871687376 | George M. Boston | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45504-1422 | 2006-10-02 |
| 1245347392 | Young R Park | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-24 |
| 1104839463 | Ronald D Patterson | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1437162880 | Joseph Patrick Mader | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| 1235142688 | Dan Thomas Hladky | Anesthesiology | 1343 N Fountain Blvd, Springfield, OH 45501 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
| 1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
| 1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
| 1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
| 1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
| 1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
| 1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
| 1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
| Find all providers in zip 45504 | ||||
| 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 |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45504 |
Please comment or provide details below to improve the information on KATHRYN L PRENDERGAST.
| 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.