KELLY J MARCOUX (NPI# 1477687952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477687952 |
| Entity Type | Individual |
| Full Name | KELLY J MARCOUX |
| Credential | P.A.-C |
| Practice Address |
600 Casson Hill Rd Fort Riley KS 66442-7037 |
| Practice Telephone | 7852397155 |
| Mailing Telephone | 7852397155 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50-00-1252 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831250596 | Kelly Marcoux | Nurse Practitioner | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-13 |
| Street Address |
600 CASSON HILL RD |
| City | FORT RILEY |
| State | KS |
| Zip Code | 66442-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437315009 | Margaret A Vernon | Speech-Language Pathologist | 600 Casson Hill Rd, Fort Riley, KS 66442-7037 | 2008-08-04 |
| 1487819678 | Lori A Rilat | Social Worker | 600 Casson Hill Rd, Fort Riley, KS 66442-7037 | 2008-07-28 |
| 1306000641 | Zaher Elmir | General Practice | 600 Casson Hill Rd, Fort Riley, KS 66442-7037 | 2008-07-16 |
| 1821255134 | Sarah J Baethge | Physical Therapist | 600 Casson Hill Rd, Fort Riley, KS 66442-7037 | 2008-05-22 |
| 1972799690 | Gary Klozenbucher | Social Worker | 600 Casson Hill Rd, Fort Riley, KS 66442-7037 | 2007-09-17 |
| 1497977607 | David Keith Marcoux | Physician Assistant | 600 Casson Hill Rd, Fort Riley, KS 66442-7037 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1306392915 | Tiffany Sapp | Dental Assistant | 7670 Estes Rd, Ft. Riley, KS 66442 | 2016-09-01 |
| 1326594938 | Kamilla Evans | Dental Assistant | Building 7670 Estes Road, Apo, AA 66442 | 2016-09-01 |
| 1073970547 | Raymond Justin Myles Jr. | Psychologist | 609a Warrior Road, Fort Riley, KS 66442 | 2016-01-28 |
| 1669864096 | Luann Underwood | Counselor | 7424 Apennines Drive, Army Substance Abuse Program, Fort Riley, KS 66442 | 2015-02-23 |
| 1043622954 | Daniel K. Schuerch | Social Worker | 650 Huebner Rd Ofc 4b183, Fort Riley, KS 66442 | 2014-05-27 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1770905812 | Caryn Deborah Wayne | Physician Assistant | Fort Riley, Apo, AA 66442 | 2014-01-08 |
| Find all providers in zip 66442 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007087 | Michell Lynna Auck | Physician Assistant | 600 Caisson Hill Road, Fort Riley, KS 66442 | 2005-07-20 |
| 1457984189 | Adam Richard Todd | Physician Assistant | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-02-21 |
| 1689987042 | Larry S Pierce Jr. | Physician Assistant | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2010-07-14 |
| 1982833745 | Tisha L Bridge | Physician Assistant | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2009-07-14 |
| 1598999476 | Shannon L Hafertepen | Physician Assistant | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2009-05-07 |
| 1497977607 | David Keith Marcoux | Physician Assistant | 600 Casson Hill Rd, Fort Riley, KS 66442-7037 | 2007-05-03 |
| 1619031952 | Tahir W. Chaudhery | Physician Assistant | 600 Caisson Hill Road, Fort Riley, KS 66442-5037 | 2006-12-21 |
| 1437230919 | Douglas W Avilla | Physician Assistant | 600 Caisson Hill Road, Attn:mcxx-cld-qm (credenetials), Fort Riley, KS 66442-5037 | 2006-10-18 |
| 1972683837 | Michael Trausch | Physician Assistant | 650 Huebner Rd, Irwin Army Community Hospital, Fort Riley, KS 66442-1111 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT RILEY |
| Zip Code | 66442 |
Please comment or provide details below to improve the information on KELLY J MARCOUX.
| 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.