SALLY ELIZABETH VANWINKLE (NPI# 1588083778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588083778 |
| Entity Type | Individual |
| Full Name | SALLY ELIZABETH VANWINKLE |
| Other Name | SALLY ELIZABETH ROEDER |
| Credential | PA |
| Practice Address |
4233 Gateway Blvd Newburgh IN 47630-8900 |
| Mailing Address |
Po Box 3868 Evansville IN 47737-3868 |
| Practice Telephone | 8124269855 |
| Practice Fax Number | 8128584536 |
| Mailing Telephone | 8124269855 |
| Mailing Fax Number | 8128584536 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4233 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982673661 | Ayaz Shaikh | Plastic Surgery | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2006-03-16 |
| 1346899465 | Rachel D Roy | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2019-09-11 |
| 1407335318 | Jessica L Conner | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2018-08-10 |
| 1619454188 | Erica R Thomason | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2018-07-26 |
| 1255875092 | Katherine L Waits | Nurse Practitioner | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2016-12-13 |
| 1689058356 | Lorin Mickelsen Iv | Podiatrist | 4233 Gateway Blvd, Newburgh, IN 47630 | 2015-07-13 |
| 1629462635 | Tyler Tidwell | Podiatrist | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2015-03-27 |
| 1003233263 | Gordon Brown | Family Medicine | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2014-03-26 |
| 1649534496 | Tanaporn Rasameesoraj | Psychiatry & Neurology | 4233 Gateway Blvd, Newburgh, IN 47630 | 2012-06-26 |
| 1811145832 | The Vision Care Center, LLC | Optometrist | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1831724905 | Reagan Leach | Physician Assistant | 4333 Bell Rd Unit 707, Newburgh, IN 47630-8114 | 2020-03-09 |
| 1871148627 | Lucas Ryan Keck | Physician Assistant | 319 Edgewater Dr, Newburgh, IN 47630-0010 | 2019-08-08 |
| 1518167931 | Hudson Valley Medical House Calls, P.C. | Physician Assistant | 685 South St, Newburgh, NY 12550-4117 | 2007-07-23 |
| 1558326405 | Steven G Sweitzer | Physician Assistant | 330 Powell Ave, Newburgh, NY 12550-3412 | 2006-04-20 |
| 1225028210 | Jonathan Green | Physician Assistant | 10444 Sr 66 N, Newburgh, IN 47630-7954 | 2005-10-21 |
| 1700879723 | Waleed Khalil | Physician Assistant | 70 Dubois St, Newburgh, NY 12550-4851 | 2005-08-24 |
| 1366085789 | Samantha Dillman | Physician Assistant | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-10-18 |
| 1558912790 | Heidi Hendryx | Physician Assistant | 4055 Gateway Blvd, Newburgh, IN 47630 | 2019-09-27 |
| 1447806179 | Elizabeth Moore | Physician Assistant | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2019-08-19 |
| 1629423041 | Eric A Sadler | Physician Assistant | 4015 Gateway Blvd, Ste 2120, Newburgh, IN 47630-9460 | 2016-05-04 |
| Find all providers in NEWBURGH | ||||
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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.