KELLY A SORENSON (NPI# 1598294563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598294563 |
| Entity Type | Individual |
| Full Name | KELLY A SORENSON |
| Practice Address |
170 Taylor Station Rd Columbus OH 43213-4491 |
| Practice Telephone | 6145457900 |
| Practice Fax Number | 6145457901 |
| Mailing Telephone | 6145457900 |
| Mailing Fax Number | 6143861997 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
OH | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4085 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| W180n11070 River Ln, Germantown, WI 530223109 | 2625328400 |
| Street Address |
170 TAYLOR STATION RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912999293 | Robert A. Durbin | Orthopaedic Surgery | 170 Taylor Station Rd, Columbus, OH 43213-4441 | 2005-08-22 |
| 1447862420 | Courtney Swain | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2020-08-20 |
| 1407471501 | Ryan Satkowiak | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2020-06-15 |
| 1518597921 | Gidgett R Herold | Occupational Therapy Assistant | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2020-01-24 |
| 1649826421 | Steven L Noorda | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2019-08-16 |
| 1992351951 | Marissa Anne Mcdonald | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2019-08-15 |
| 1295397537 | Matthew M Laney | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2019-07-08 |
| 1790347375 | Aswin Vijayan | Physical Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2019-07-03 |
| 1629536248 | Kasey Meininger | Occupational Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2019-03-04 |
| 1760947576 | Ashley Koepke | Occupational Therapist | 170 Taylor Station Rd, Columbus, OH 43213-4491 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1114177722 | Malachi Hutto IIi | Physician Assistant | 2300a Manchester Express Way Suite 101a, St. Francis Orthopaedic Institute, Columbus, GA 31904 | 2008-09-19 |
| 1518167279 | Howard A. Paskett | Physician Assistant | 2050 Kenny Rd Ste 3300, Columbus, OH 43221-3502 | 2007-07-20 |
| 1346440286 | Mary Fisher Feldman | Physician Assistant | N-839 Doan Hall 410 West 10th Ave., Osu Thoracic Surgery, Columbus, OH 43210-1240 | 2007-07-19 |
| 1033190723 | Brian Douglas Foor | Physician Assistant | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2005-11-09 |
| 1063031516 | Erik C Zimmer | Physician Assistant | 285 E State St Ste 260, Columbus, OH 43215-4322 | 2020-04-15 |
| 1023662327 | Emily L Sedler | Physician Assistant | 940 N Marr Rd Ste C, Columbus, IN 47201-2610 | 2019-07-25 |
| 1225500127 | Eric M Ladow | Physician Assistant | 285 E State St Ste 400, Columbus, OH 43215-4354 | 2018-12-18 |
| 1629581178 | Frehun Ayele Asele | Physician Assistant | 700 Childrens Dr, Columbus, OH 43205-2664 | 2017-11-07 |
| 1437674793 | Monica Faye Mills | Physician Assistant | 255 Baptist Blvd Ste 401, Columbus, MS 39705 | 2017-08-08 |
| Find all providers in COLUMBUS | ||||
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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.