AMANDA DOCKRY (NPI# 1619496114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619496114 |
| Entity Type | Individual |
| Full Name | AMANDA DOCKRY |
| Credential | PA-C |
| Practice Address |
543 Taylor Ave Columbus OH 43203-1278 |
| Practice Telephone | 6146886400 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50005277RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
543 TAYLOR AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43203-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184625923 | Jeffrey F Granger | Orthopaedic Surgery | 543 Taylor Ave, Columbus, OH 43203-1278 | 2005-08-02 |
| 1861038069 | Hospitalist Medicine Physicians of Ohio-columbus II Professional Corp | Internal Medicine | 543 Taylor Ave, Columbus, OH 43203-1278 | 2019-11-22 |
| 1528629243 | Leslie Brouwer | Nurse Practitioner | 543 Taylor Ave, Columbus, OH 43203-1278 | 2019-06-24 |
| 1902467905 | Jane Ginther | Nurse Practitioner | 543 Taylor Ave, Columbus, OH 43203-1278 | 2019-06-21 |
| 1265999502 | Kristi Anglin Epstein | Nurse Practitioner | 543 Taylor Ave, Columbus, OH 43203-1278 | 2019-02-22 |
| 1376022418 | Melissa Danielle Edell | Nurse Practitioner | 543 Taylor Ave, Columbus, OH 43203-1278 | 2018-08-09 |
| 1770077091 | Risa Nicole Long | Psychologist | 543 Taylor Ave, Department of Family Medicine, Columbus, OH 43203 | 2018-06-20 |
| 1144759770 | Anita Eileen Zielinski-bean | Social Worker | 543 Taylor Ave, Columbus, OH 43203-1278 | 2017-06-07 |
| 1962930677 | Mary M. Baker | Registered Nurse | 543 Taylor Ave, Columbus, OH 43203-1278 | 2017-05-24 |
| 1548792302 | Kathleen D. Banks | Nurse Practitioner | 543 Taylor Ave, Columbus, OH 43203-1278 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
| 1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
| 1750845160 | Bianca Bell | Counselor | 1223 Mt Vernon Ave, Columbus, OH 43203 | 2019-01-30 |
| 1902323710 | Anitra Gripper | Home Health | 442 N. Garfield Avenue, Columbus, OH 43203 | 2017-08-23 |
| 1710418900 | Sherrie Cathey | Licensed Practical Nurse | 521 Sawyer Blvd #906, Columbus, OH 43203 | 2017-03-21 |
| 1710341490 | Ann-kathrin Eisfeld | Student in an Organized Health Care Education/Training Program | 1276 Eastwood Ave, Columbus, OH 43203 | 2016-04-08 |
| 1194140921 | Chante Meadows, LLC | Community/Behavioral Health | 1000 Atcheson Street, Columbus, OHIO 43203 | 2014-03-03 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1437203080 | Debra R Jones | Psychiatry & Neurology | 1620 East Broad Street, Suite 109, Columbus, OH 43203 | 2007-01-22 |
| 1841397296 | Daniel Kenneth Mcclincy | Physician Assistant | 543 Taylor Ave., Vaopc, Columbus, OH 43203 | 2006-09-20 |
| Find all providers in zip 43203 | ||||
| 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 |
|---|---|---|---|---|
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1649886557 | Justin Knox | Physician Assistant | 7416 Roslindale Dr, Columbus, OH 43235-8904 | 2020-09-17 |
| 1336766310 | Mckenna Marie Wilson | Physician Assistant | 4752 Bentham Dr, Columbus, OH 43220-3204 | 2020-06-25 |
| 1881226744 | Adrian Gorzitze-maxey | Physician Assistant | 117 W Como Ave, Columbus, OH 43202-1027 | 2020-02-09 |
| 1699316604 | James Rodeman | Physician Assistant | 1351 Wyandotte Rd, Columbus, OH 43212-3248 | 2019-10-01 |
| 1740830017 | Rylie Taylor Ingham | Physician Assistant | 285 E State St Ste 600, Columbus, OH 43215-4329 | 2019-09-18 |
| 1487201976 | Columbus Surgical Assist, LLC | Physician Assistant | 605 N. High Street #234, Columbus, OH 43215-2024 | 2019-08-20 |
| 1699237743 | Stefan Khensouri | Physician Assistant | 3375 Paddington Dr, Columbus, IN 47203-4328 | 2019-04-05 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1760972426 | Simon Nke Acha | Physician Assistant | 285 E State St Ste 360, Columbus, OH 43215-4357 | 2018-05-17 |
| 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.