KYLE STEVEN DEUTER (NPI# 1467475657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467475657 |
| Entity Type | Individual |
| Full Name | KYLE STEVEN DEUTER |
| Credential | PA-C |
| Practice Address |
110 Professional Ct Jesup GA 31545-0044 |
| Mailing Address |
Po Box 1334 Jesup GA 31598-1334 |
| Practice Telephone | 9124270800 |
| Mailing Telephone | 9124270800 |
| Mailing Fax Number | 9124276029 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2017-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
007290 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00080100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 PROFESSIONAL CT |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772228 | J Lex Kenerly IIi | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2005-06-28 |
| 1790331304 | Derek William Tucker | Physical Therapy Assistant | 110 Professional Ct, Jesup, GA 31545-0044 | 2019-08-11 |
| 1467867655 | Cecilia Mook | Physician Assistant | 110 Professional Ct, Jesup, GA 31545-0044 | 2014-06-25 |
| 1730506338 | Tattnall Hospital Company, LLC | Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2014-03-21 |
| 1861837817 | Gavin Heath Denmark | Physician Assistant | 110 Professional Ct, Jesup, GA 31545-0044 | 2013-05-03 |
| 1710242961 | Marlin Lavar Brown | Specialist/Technologist | 110 Professional Ct, Jesup, GA 31545-0044 | 2012-07-12 |
| 1790913622 | Jay Brandon Cook | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2009-06-30 |
| 1609056993 | Thomas Patrick Loumeau | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2007-11-05 |
| 1447472048 | John Matthew Valosen | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2007-05-03 |
| 1528104510 | Bone and Joint Institute of South Georgia, P.C. | Orthopaedic Surgery | 110 Professional Ct, Jesup, GA 31545-0044 | 2007-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205043288 | Bolaji Aremu | Physician Assistant | Fci, 2600 Hwy 301 South, Jesup, GA 31599-0001 | 2007-05-17 |
| 1982828943 | Wayne Emergency Group LLC | Physician Assistant | 865 S 1st St, Jesup, GA 31545-0210 | 2007-04-12 |
| 1811042815 | Wynne Kendra Lott | Physician Assistant | 111 Colonial Way Ste 2, Jesup, GA 31545 | 2007-01-23 |
| 1437188257 | Jonathan Paul Kiff | Physician Assistant | 999 S Macon St, Jesup, GA 31545-0240 | 2006-07-02 |
| 1699733832 | Jesup Emergency Services, LLC | Physician Assistant | 865 S 1st St, Jesup, GA 31545-0210 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
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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.