MR. KENNETH D DOTSON (NPI# 1457534364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457534364 |
| Entity Type | Individual |
| Full Name | MR. KENNETH D DOTSON |
| Credential | RPA-C |
| Practice Address |
206 E Brown St East Stroudsburg PA 18301-3006 |
| Mailing Address |
2407 Mountain Rd Stroudsburg PA 18360-6708 |
| Practice Telephone | 5704214000 |
| Mailing Telephone | 5708566200 |
| Mailing Fax Number | 5704454553 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA051281 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
206 E BROWN ST |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718934 | David M Richlin | Specialist | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2005-05-24 |
| 1740897107 | Carolynn Harbison | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2020-09-29 |
| 1649805326 | Amy Acosta | Nurse Practitioner | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2020-03-03 |
| 1134683527 | Richard Powers Jr. | Pharmacist | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2019-01-30 |
| 1346704749 | Tara Coyne | Pharmacist | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2019-01-30 |
| 1245709336 | Carlin Shea | Nurse Anesthetist, Certified Registered | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-11-19 |
| 1427531938 | Leah Paige Makarevich | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-09-11 |
| 1225516107 | Megan Grass | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-08-01 |
| 1710471982 | Megan Wheatley | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2018-06-20 |
| 1609382217 | Megan Elizabeth Weimer | Advanced Practice Midwife | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518284215 | Denise Castro | Physician Assistant | 447 Plaza Court, Suite B, East Stroudsburg, PA 18301-8262 | 2010-04-21 |
| 1467624247 | Jeffrey Pallas | Physician Assistant | 500 Plaza Ct Ste B, East Stroudsburg, PA 18301-8262 | 2008-04-01 |
| 1801240056 | Rachel Pierantozzi | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2016-04-13 |
| 1710362694 | Joel Paradis | Physician Assistant | 391 E Brown St, East Stroudsburg, PA 18301-9101 | 2015-07-21 |
| 1902295751 | Fatira Elhadi | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2015-01-16 |
| 1518397496 | Geno Zini | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2013-11-14 |
| 1043650757 | James Higgins Cawley | Physician Assistant | 206 E Brown St, East Stroudsburg, PA 18301-3006 | 2013-06-26 |
| 1982930699 | Crystal Crowder | Physician Assistant | 5221 Milford Rd, East Stroudsburg, PA 18302-9149 | 2009-10-30 |
| 1063687572 | Alyssa K Lane | Physician Assistant | 239 E Brown St, East Stroudsburg, PA 18301-3005 | 2008-04-25 |
| 1285813931 | Marisa Ann Guarino | Physician Assistant | 175 E Brown St, Suite 201a, East Stroudsburg, PA 18301-3098 | 2007-10-30 |
| Find all providers in EAST STROUDSBURG | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
Please comment or provide details below to improve the information on MR. KENNETH D DOTSON.
| 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.