KELLY E GOVRO (NPI# 1467638544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467638544 |
| Entity Type | Individual |
| Full Name | KELLY E GOVRO |
| Credential | P.A. |
| Practice Address |
1475 Kisker Rd Suite 200 Saint Charles MO 63304-8781 |
| Mailing Address |
1551 Wall St Suite 310 Saint Charles MO 63303-3539 |
| Practice Telephone | 6364985850 |
| Practice Fax Number | 6364985906 |
| Mailing Telephone | 6366692268 |
| Mailing Fax Number | 6366692401 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2009-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1475 KISKER RD SUITE 200 |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63304-8781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238401 | Melanie Nicole Pilkenton | Physician Assistant | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2005-07-12 |
| 1487253662 | Lindsay Tyree | Physical Therapist | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2020-10-20 |
| 1144714023 | Cecelia Pratt | Registered Nurse | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2018-06-14 |
| 1558891747 | Katie Mocca | Physical Therapist | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2017-06-19 |
| 1801348339 | Lindsey Catherine Martin | Registered Nurse | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2016-11-01 |
| 1083168801 | Forefront Dermatology, S.c. | Dermatology | 1475 Kisker Rd, Suite 270, Saint Charles, MO 63304 | 2016-08-10 |
| 1528421260 | Ssm St. Charles Clinic Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | 2016-03-31 |
| 1841663747 | Michelle L Wolynski | Nurse Practitioner | 1475 Kisker Rd, Suite 200, Saint Charles, MO 63304-8781 | 2015-11-02 |
| 1558733113 | Melissa Irvine | Nurse Practitioner | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2015-10-22 |
| 1558750364 | Jade Holman | Nurse Practitioner | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2015-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382127 | Susan Brockmeyer | Occupational Therapist | 600 Breeze View Ln, Weldon Springs, MO 63304 | 2020-09-29 |
| 1235743097 | Brett Allan Lancaster | Pharmacist | 3801 Old Highway 94, St. Peters, MO 63304 | 2020-08-31 |
| 1356834683 | Emily Elizabeth Blau | Chiropractor | 5055 State Highway N, 108, Cottleville, MO 63304 | 2018-06-12 |
| 1033606769 | Christina Marie Crain | Counselor | 501 Chele Dr, Saint Charles, MO 63304 | 2018-04-18 |
| 1063875532 | Amy L Ney-carder | Speech-Language Pathologist | 5199 State Highway N, St. Peters, MO 63304 | 2016-04-01 |
| 1609127745 | Lawlor Chiropractic LLC | Chiropractor | 6028 Weldon Spring Parkway, Weldon Spring, MO 63304 | 2012-09-28 |
| 1043588510 | Esther Lima | Pharmacist | 3801 S Harvester Rd, St Peters, MO 63304 | 2011-12-12 |
| 1922318245 | Sonya Paramore | Counselor | 1480 Woodstone Drive, Suite 211, Saint Charles, MO 63304 | 2010-10-20 |
| 1871624445 | Joylynn Anderson | Social Worker | 5931 Highway 94 South, Saint Charles, MO 63304 | 2007-03-08 |
| 1821155706 | Cynthia Lynn Sitarski | Occupational Therapist | 4545 Central School Road, St. Charles, MO 63304 | 2007-01-02 |
| Find all providers in zip 63304 | ||||
| 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 |
|---|---|---|---|---|
| 1689206005 | Jamie Anne Garofalo | Physician Assistant | 1018 Guildford Dr, Saint Charles, MO 63304-6958 | 2020-02-05 |
| 1912478074 | Erin Kane | Physician Assistant | 6n158 Creekside Dr, Saint Charles, IL 60175-6192 | 2018-12-16 |
| 1760912125 | Aaron Rey Winston | Physician Assistant | 12 Danbury Ct, Saint Charles, MO 63303-5469 | 2017-06-18 |
| 1194738260 | Ray Bartlett | Physician Assistant | 723 1st Capitol Dr, Saint Charles, MO 63301-2729 | 2006-08-13 |
| 1245238401 | Melanie Nicole Pilkenton | Physician Assistant | 1475 Kisker Rd, Saint Charles, MO 63304-8781 | 2005-07-12 |
| 1427568740 | Amy Adele Frasher | Physician Assistant | 2900 Foxfield Rd Ste 100, Saint Charles, IL 60174-5799 | 2017-10-02 |
| 1609317205 | St. Charles Physician Services, LLP | Physician Assistant | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2017-03-15 |
| 1487104303 | Ellen O'brien Atwood | Physician Assistant | 300 1st Capitol Dr, Saint Charles, MO 63301 | 2016-10-04 |
| 1629217690 | Jennifer Rhae Herndon | Physician Assistant | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2009-02-13 |
| 1013112176 | Kathleen F. Christlieb | Physician Assistant | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2007-06-19 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63304 |
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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.