MS. THERESA LYNN CROWDER (NPI# 1619961737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619961737 |
| Entity Type | Individual |
| Full Name | MS. THERESA LYNN CROWDER |
| Credential | PAC |
| Practice Address |
207 N Axtel Ave Milford IL 60953-1003 |
| Mailing Address |
309 S James St Goodland IN 47948-8124 |
| Practice Telephone | 8158894241 |
| Practice Fax Number | 8158894244 |
| Mailing Telephone | 5174259427 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 85002866 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5601003575 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306135991 | Theresa Crowder | Dental Hygienist | 1044 State St, Schenectady, NY 12307-1508 | 2011-04-04 |
| Street Address |
207 N AXTEL AVE |
| City | MILFORD |
| State | IL |
| Zip Code | 60953-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154461978 | Crisanto M Reyes | Internal Medicine | 207 N Axtel Ave, Milford, IL 60953-1003 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356697312 | Connie C Catron | Nurse Practitioner | 322 N Chicago St, Hoopeston Community Memorial Hospital Dba Milford Medic, Milford, IL 60953-1012 | 2012-07-27 |
| 1598215683 | Iroquois Mental Health Center | Clinic/Center | 322 N Chicago St, Milford, IL 60953-1012 | 2016-10-12 |
| 1467820852 | Iroquois Mental Health Center | Community/Behavioral Health | 322 N Chicago St, Milford, IL 60953-1012 | 2015-09-02 |
| 1578580346 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 34 E Jones St, Milford, IL 60953-1046 | 2006-07-16 |
| 1245713064 | Chelsea Lynnea Wichtner | Registered Nurse | 34 E Jones St, Milford, IL 60953-1046 | 2018-09-07 |
| 1154744282 | Shannon Haggard | Nurse Practitioner | 34 E Jones St, Milford, IL 60953-1046 | 2014-01-24 |
| 1881735975 | Jeanne Laurette Vanhoveln | Pharmacy | 105 E Jones St, Milford, IL 60953-1047 | 2007-02-09 |
| 1578587333 | Jon Rugh Link | Chiropractor | 121 E Jones St, Milford, IL 60953-1047 | 2006-07-26 |
| 1750643599 | Energy Healing Systems Inc | Chiropractor | 121 E Jones St, Milford, IL 60953-1047 | 2012-06-07 |
| 1285809707 | Kelly Drugs | Pharmacy | 105 E Jones St, Milford, IL 60953-1047 | 2008-04-25 |
| Find all providers in zip 60953 | ||||
| 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 |
|---|---|---|---|---|
| 1811514813 | Ashley Nutter | Physician Assistant | 8 Choctaw Ln, Milford, OH 45150-1604 | 2020-06-25 |
| 1003244641 | Daniel Hale | Physician Assistant | 7530 Mcgeorge Rd, Milford, KS 66514-8983 | 2013-10-16 |
| 1104802925 | Henry N Mensack | Physician Assistant | 329 Mullet Run, Milford, DE 19963-5373 | 2005-12-22 |
| 1174520886 | Bridget Swanson | Physician Assistant | 1265 N Milford Rd, Milford, MI 48381-1018 | 2005-07-07 |
| 1053318683 | Rebecca S Howard | Physician Assistant | 14 Asylum St, Milford, MA 01757-2203 | 2005-06-28 |
| 1770100042 | Ellen Schroeder | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-07-02 |
| 1063069748 | Julie Ping Gedalecia | Physician Assistant | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2019-08-19 |
| 1598324477 | Sarah Ann Varney | Physician Assistant | 100 Wellness Way, Milford, DE 19963-4364 | 2019-06-13 |
| 1235600032 | Kelsey Lauren Crawford | Physician Assistant | 10 Jones Rd, Milford, NH 03055-3100 | 2018-12-06 |
| 1255824504 | Rebecca A. Johnson | Physician Assistant | 100 Wellness Way, Milford, DE 19963-4364 | 2018-06-12 |
| Find all providers in MILFORD | ||||
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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.