PAMELA SUTHERLY (NPI# 1487792867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487792867 |
| Entity Type | Individual |
| Full Name | PAMELA SUTHERLY |
| Credential | PAC |
| Practice Address |
700 S Stanfield Rd Ste A Troy OH 45373 |
| Mailing Address |
700 S Stanfield Rd Ste A Troy OH 45373-2569 |
| Practice Telephone | 9373395355 |
| Practice Fax Number | 9373393056 |
| Mailing Telephone | 9373395355 |
| Mailing Fax Number | 9373393056 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50-00-1250 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0160410 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 280 Looney Rd, Suite 204, Piqua, OH 45356 | 9376159051 | 9376159053 |
| 700 S Stanfield Rd Ste A, Troy, OH 453732569 | 9373395355 | 9373393056 |
| Street Address |
700 S STANFIELD RD STE A |
| City | TROY |
| State | OH |
| Zip Code | 45373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396198321 | Polly Baltes | Nurse Practitioner | 700 S Stanfield Rd Ste A, Troy, OH 45373 | 2016-07-14 |
| 1033519442 | Melanie S Hynes | Nurse Practitioner | 700 S Stanfield Rd Ste A, Troy, OH 45373 | 2014-09-04 |
| 1073950895 | Matthew Stephen Kelzer | Physician Assistant | 700 S Stanfield Rd Ste A, Troy, OH 45373 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902356454 | Elaina Diclemente | Physician Assistant | 44199 Dequindre Rd Ste 222, Troy, MI 48085-1128 | 2016-10-08 |
| 1710338090 | Megan S Hakim | Physician Assistant | 4600 Investment Dr Ste 150, Troy, MI 48098-6376 | 2016-06-28 |
| 1811390560 | Anika Webb | Physician Assistant | 160 South Railroad Street, Station Square, Troy, PA 16947-1499 | 2014-10-08 |
| 1518099340 | Lisa Denise Sowels | Physician Assistant | 306 Town Center Dr, Troy, MI 48084-1742 | 2007-03-09 |
| 1164492229 | Leigh A. Dobbs | Physician Assistant | 264 W. Maple Rd., Suite #200, Troy, MI 48084 | 2006-01-23 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1902386493 | Sara F Ruch | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2018-08-15 |
| 1376991539 | Kelsey Hilley | Physician Assistant | 2215 Burdett Ave, Samaritan Hospital, Troy, NY 12180-2466 | 2016-05-28 |
| 1487035275 | Lauren Naborczyk | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-06-17 |
| 1891187878 | Alisha Jordan Sintz | Physician Assistant | 3130 N County Road 25a, Troy, OH 45373-1337 | 2015-02-27 |
| Find all providers in TROY | ||||
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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.