ANNA KULACZ (NPI# 1528436656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528436656 |
| Entity Type | Individual |
| Full Name | ANNA KULACZ |
| Credential | PA-C |
| Practice Address |
123 Ponderosa Dr Sutherlin OR 97479-9812 |
| Mailing Address |
68 Longfellow Dr Colonia NJ 07067-3031 |
| Practice Telephone | 5414593788 |
| Mailing Telephone | 9089302385 |
| Enumeration Date | 2015-09-06 |
| Last Update Date | 2015-09-06 |
| 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 |
123 PONDEROSA DR |
| City | SUTHERLIN |
| State | OR |
| Zip Code | 97479-9812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437374998 | Faiza Salman | Family Medicine | 123 Ponderosa Dr, Suite 102, Sutherlin, OR 97479-9812 | 2007-04-17 |
| 1104294933 | Danielle Givens | Social Worker | 123 Ponderosa Dr, Sutherlin, OR 97479-9812 | 2015-09-10 |
| 1336520162 | Kody Seeley | Family Medicine | 123 Ponderosa Dr, Sutherlin, OR 97479-9812 | 2015-06-17 |
| 1619399888 | Umpqua Community Health Center, Inc. | Clinic/Center | 123 Ponderosa Dr, Sutherlin, OR 97479-9812 | 2014-01-07 |
| 1124353289 | Umpqua Regional Medical Center Diagnostics | Clinical Medical Laboratory | 123 Ponderosa Dr, Suite 101, Sutherlin, OR 97479-9812 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1962919415 | Matt Vincent Vaccaro | Acupuncturist | 110 S. State St, Sutherlin, OR 97479 | 2018-01-05 |
| 1083972632 | Cynthia K Colean | Counselor | 112 Eagle Court, Sutherlin, OR 97479 | 2012-05-01 |
| 1245407980 | Lori Celeste Farley | Acupuncturist | 10 South State Street, Sutherlin, OR 97479 | 2008-05-12 |
| 1124215413 | Assisted Living Concepts Inc | Assisted Living Facility | 1465 East Central, Sutherlin, OR 97479 | 2007-10-01 |
| 1528106358 | James J. Hein | Dentist | 155 N. Umpqua St., Sutherlin, OR 97479 | 2007-02-02 |
| 1407910417 | Adam Wade Sarnoski | Chiropractor | 219 N. Umpqua St., Sutherlin, OR 97479 | 2006-12-21 |
| 1700982642 | Timothy S Murphy | Dentist | 317 E Central Ave, Sutherlin, OR 97479 | 2006-09-16 |
| 1407416100 | Hometown Drugs of Sutherlin, Inc. | Pharmacy | 113 E Central Ave., Sutherlin, OR 97479 | 2019-06-17 |
| 1255990982 | Matthew V. Vaccaro Lac Inc | Acupuncturist | 110 S. State St, Sutherlin, OR 97479 | 2019-06-06 |
| Find all providers in zip 97479 | ||||
| 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 |
|---|---|---|---|---|
| 1801495569 | Lynsie Wolfe | Physician Assistant | 3000 Bryant Williams Dr Ste 200, Klamath Falls, OR 97601-1140 | 2020-10-22 |
| 1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
| 1639786411 | Bridget Meade-sentosun | Physician Assistant | 2599 Ne Overlook Dr Apt 815, Hillsboro, OR 97124-7613 | 2020-09-25 |
| 1518570738 | Samantha Larelle Williamson | Physician Assistant | 1551 2nd St, Umatilla, OR 97882-9707 | 2020-08-27 |
| 1356951891 | Eric James Humphrey | Physician Assistant | 1055 Ne Creeksedge Dr, Hillsboro, OR 97124-1316 | 2020-08-07 |
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1831712280 | Joshua Sprague | Physician Assistant | 6501 Ne Cherry Dr Apt 1112, Hillsboro, OR 97124-7711 | 2020-05-20 |
| 1376165134 | Emily Axelrod | Physician Assistant | 19648 Wildwood Dr, West Linn, OR 97068-2210 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
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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.