PEARL MARGARET CHURCHILL (NPI# 1497274419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497274419 |
Entity Type | Individual |
Full Name | PEARL MARGARET CHURCHILL |
Credential | PA-C |
Practice Address |
Usibelli Spur Road Healy AK 99743 |
Mailing Address |
Po Box 246 Healy AK 99743-0246 |
Practice Telephone | 9076832211 |
Practice Fax Number | 9076832112 |
Mailing Telephone | 9076832211 |
Mailing Fax Number | 9076832112 |
Enumeration Date | 2017-09-11 |
Last Update Date | 2020-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 139961 | AK | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
4311 11th Ave Ne Ste 200, Seattle, WA 981056367 | 2066164001 |
Street Address |
USIBELLI SPUR ROAD |
City | HEALY |
State | AK |
Zip Code | 99743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891392783 | Bethany Flynn | Emergency Medical Technician, Paramedic | 137 Healy Spur Rd, Healy, AK 99743 | 2020-10-05 |
1659838316 | Linda Chatfield | Acupuncturist | 0.4 Miles Platinum Court, Healy, AK 99743 | 2019-02-28 |
1558894527 | Alaska Family Pharmacy Healy LLC | Pharmacy | 248.1 Mile Parks Highway, Healy, AK 99743 | 2017-04-06 |
1609942754 | Interior Community Health Center | Clinic/Center | Usibelli Spur Rd, Tri Valley Community Center, Healy, AK 99743 | 2006-11-28 |
1376598755 | Tri -valley Volunteer Fire Department | Ambulance | 5 Healy Spur Road, Healy, AK 99743-0146 | 2006-05-23 |
1457486235 | Rebecca Ann Blanchard | Speech-Language Pathologist | 250 Parks Highway, Pob 444, Healy, AK 99743-0444 | 2007-02-22 |
1568829612 | Heidi Brannen | Massage Therapist | Lot 2 Block14 Tri-valley Subdivision, Healy, AK 99743-0591 | 2016-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699009076 | Healy Usd 468 | Local Education Agency (LEA) | 5006 N Dodge Rd, Healy, KS 67850-5022 | 2009-10-01 |
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 |
---|---|---|---|---|
1013517226 | Robin Lynn Morris | Physician Assistant | 3275 Togiak St, Kenai, AK 99611-8483 | 2020-10-27 |
1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
1043775414 | Brandon James Wilson | Physician Assistant | Uscg Base Kodiak Rockmore-king Clinic, 200 Albatross Ave Bldg N-46, Kodiak, AK 99615-6810 | 2019-02-09 |
1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
1427539261 | Aimee Johnson | Physician Assistant | 1640 Cowles St Ste 1, Fairbanks, AK 99701-5908 | 2018-08-28 |
1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
1215443122 | Denali Surgical Services, LLC | Physician Assistant | 12110 Business Blvd Ste 6 #410, Eagle River, AK 99577-7798 | 2017-12-15 |
1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
1700322773 | Joshua Hatch | Physician Assistant | Bldg 786 D St., Jber, AK 99505 | 2017-01-13 |
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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.