TRACEY KWIAT (NPI# 1427074087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427074087 |
| Entity Type | Individual |
| Full Name | TRACEY KWIAT |
| Credential | PAC |
| Practice Address |
1868 Wilene Dr Beavercreek OH 45432-4022 |
| Practice Telephone | 9372082088 |
| Practice Fax Number | 9372082898 |
| Mailing Telephone | 9372082088 |
| Mailing Fax Number | 9372082898 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50001904 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1868 WILENE DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45432-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| 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 |
|---|---|---|---|---|
| 1225655624 | Amy Riess | Physician Assistant | 1379 Bareback Trl, Beavercreek, OH 45434-5682 | 2020-07-01 |
| 1548816622 | Christine Beaujean | Physician Assistant | 4244 Indian Ripple Rd Ste 300, Beavercreek, OH 45440-3280 | 2019-08-14 |
| 1689196222 | Alexis Victoria Robinson | Physician Assistant | 2262 Mallard Ln Apt 6, Beavercreek, OH 45431-2592 | 2017-07-14 |
| 1053921650 | Sarah Gould | Physician Assistant | 2510 Commons Blvd Ste 210, Beavercreek, OH 45431-3821 | 2020-08-07 |
| 1346707379 | Bryan Michael Dooley | Physician Assistant | 725 University Blvd, Beavercreek, OH 45324-2640 | 2019-02-26 |
| 1821575432 | Jayson Travis Keener | Physician Assistant | 2361 Lakeview Dr, Beavercreek, OH 45431-3695 | 2018-07-26 |
| 1306339197 | Cheyenne Clayson | Physician Assistant | 75 Sylvania Dr, Beavercreek, OH 45440-3237 | 2018-06-07 |
| 1427426816 | Angela R Fry | Physician Assistant | 75 Sylvania Dr, Beavercreek, OH 45440-3237 | 2015-09-02 |
| 1801283981 | Ryan C Craycraft | Physician Assistant | 75 Sylvania Dr, Beavercreek, OH 45440-3237 | 2015-04-16 |
| 1023255387 | Lindsey R Hammett | Physician Assistant | 111 Harbert Dr, Beavercreek, OH 45440-5117 | 2009-01-08 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45432 |
Please comment or provide details below to improve the information on TRACEY KWIAT.
| 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.