JEFFERY ALAN TICHENOR (NPI# 1629154851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629154851 |
| Entity Type | Individual |
| Full Name | JEFFERY ALAN TICHENOR |
| Credential | PA-C |
| Practice Address |
4049 S Campbell Ave Springfield MO 65807-5303 |
| Mailing Address |
1632 Missouri Avenue Carthage MO 64836-2032 |
| Practice Telephone | 4178905550 |
| Practice Fax Number | 4178906429 |
| Mailing Telephone | 4173587600 |
| Mailing Fax Number | 4173584103 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
109829 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235327123 | Jeffery Allen Tichenor | Pharmacist | 1717 S J St, Tacoma, WA 98405-4933 | 2007-10-04 |
| Street Address |
4049 S CAMPBELL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205806585 | Daniel J Burke | Emergency Medicine | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2006-01-26 |
| 1528510443 | Family Medical Walk-in Clinic | Clinic/Center | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2016-10-26 |
| 1316193394 | Ozark Family Medical Walk-in Clinics, Inc | Clinic/Center | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2008-08-11 |
| 1851502942 | Kevin J Kelly | Physician Assistant | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2007-05-24 |
| 1326187188 | James T Shaeffer | Family Medicine | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2007-02-06 |
| 1144261470 | Anita Marlene Purvis | Nurse Practitioner | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2006-06-09 |
| 1215981949 | June Ellen Meldi | Nurse Practitioner | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2006-05-19 |
| 1194798512 | William A Baird | Internal Medicine | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2006-02-08 |
| 1194798611 | Norman Mccarthy | Ophthalmology | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2006-02-08 |
| 1619949427 | Carol A Matthews | Registered Nurse | 4049 S Campbell Ave, Springfield, MO 65807-5303 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
| 1295885168 | Jacqueline Kernaghan | Physician Assistant | 723 Saxer Ave, Springfield, PA 19064-3503 | 2007-01-11 |
| 1295746733 | Gwen Wright | Physician Assistant | 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 | 2006-08-10 |
| 1164490710 | Stacie L Pierce | Physician Assistant | 3721 W El Castile St, Springfield, MO 65807-5431 | 2006-03-09 |
| 1245206432 | Annette K Bates | Physician Assistant | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2006-02-27 |
| 1518947159 | Louis Patrick Favata | Physician Assistant | 140 High St., Springfield, MA 01199 | 2006-01-19 |
| 1649257031 | Scott D Rubin | Physician Assistant | 3400 Main Street, Springfield, MA 01107-1113 | 2005-12-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on JEFFERY ALAN TICHENOR.
| 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.