GRETCHEN WAYNE FAWCETT (NPI# 1588758700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588758700 |
| Entity Type | Individual |
| Full Name | GRETCHEN WAYNE FAWCETT |
| Credential | PA-C |
| Practice Address |
408 S Main St Lewistown IL 61542-1563 |
| Mailing Address |
180 S Main St Canton IL 61520-2608 |
| Practice Telephone | 3095479700 |
| Practice Fax Number | 3096496880 |
| Mailing Telephone | 3096470201 |
| Mailing Fax Number | 3096495101 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 85001592 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
408 S MAIN ST |
| City | LEWISTOWN |
| State | IL |
| Zip Code | 61542-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528379906 | County of Fulton | Public Health or Welfare | 100 N Main St, Lewistown, IL 61542-0111 | 2010-06-30 |
| 1942489745 | Harry E Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2007-10-29 |
| 1326040866 | James Victor Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-15 |
| 1598767576 | Burch Chiropractic Ltd | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-10 |
| 1295804722 | Jaime Humberto Cercone | General Practice | 501 W Milton Ave, Lewistown, IL 61542-1322 | 2006-11-07 |
| 1184064156 | R & Q Corporation | Pharmacy | 193 S Main St, Lewistown, IL 61542-1412 | 2013-07-05 |
| 1417092099 | Main Street Pharmacy Inc | Pharmacy | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-21 |
| 1144363573 | Main Street Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-15 |
| 1750527172 | Graham Hospital Association | Family Medicine | 408 S. Main Street, Lewistown, IL 61542-1563 | 2009-01-07 |
| 1841558012 | Niemann Foods Inc | Pharmacy | 518 S Main St, Lewistown, IL 61542-1565 | 2012-04-25 |
| Find all providers in zip 61542 | ||||
| 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 |
|---|---|---|---|---|
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1730622986 | Emiley Ringenbach | Physician Assistant | 27 Sandy Ln Ste 200, Lewistown, PA 17044-1320 | 2016-11-21 |
| 1558763896 | Angela Auman | Physician Assistant | 310 Electric Ave., Ste. 240, Lewistown, PA 17044-4505 | 2014-09-18 |
| 1518918051 | Geisinger Clinic | Physician Assistant | 21 Geisinger Lane, Lewistown, PA 17044 | 2006-05-12 |
| 1861041360 | Megan Nicole Heckman | Physician Assistant | 400 Highland Ave, Lewistown, PA 17044-1167 | 2019-09-06 |
| 1790344240 | Natalia Maria Bock | Physician Assistant | 6 N Dorcas St, Lewistown, PA 17044-1737 | 2019-06-09 |
| 1972079705 | Kulwinder Singh | Physician Assistant | 307 4th St, Lewistown, PA 17044-1316 | 2018-10-19 |
| 1396210803 | Erica Everett | Physician Assistant | 21 Geisinger Ln, Lewistown, PA 17044-3400 | 2018-10-11 |
| 1932683810 | Malorie Catherine Zimardo | Physician Assistant | 21 Geisinger Ln, Lewistown, PA 17044-3400 | 2018-09-18 |
| 1194211003 | Abby Bishop | Physician Assistant | 21 Geisinger Ln, Lewistown, PA 17044-3400 | 2018-07-03 |
| Find all providers in LEWISTOWN | ||||
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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.