HANNAH MARY MCMAHON KADOOKA (NPI# 1689026759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689026759 |
| Entity Type | Individual |
| Full Name | HANNAH MARY MCMAHON KADOOKA |
| Other Name | HANNAH MARY MCMAHON |
| Credential | PA-C |
| Practice Address |
675 N 5th St Lebanon OR 97355-2875 |
| Mailing Address |
Po Box 1193 Corvallis OR 97339-1193 |
| Practice Telephone | 5414516282 |
| Practice Fax Number | 5418122040 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA184144 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
675 N 5TH ST |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902865124 | Karen Elise Gaspardi | Obstetrics & Gynecology | 675 N 5th St, Lebanon, OR 97355-2875 | 2006-03-17 |
| 1174186068 | Lan Starkweather | Pharmacist | 675 N 5th St, Lebanon, OR 97355-2875 | 2019-04-17 |
| 1811550866 | Elisa Denise Garrett | Nurse Practitioner | 675 N 5th St, Lebanon, OR 97355-2875 | 2019-04-16 |
| 1174041396 | Elena Noemi Noonan | Physician Assistant | 675 N 5th St, Lebanon, OR 97355-2875 | 2017-09-07 |
| 1972047488 | Devin Elizabeth Petschl | Nurse Practitioner | 675 N 5th St, Lebanon, OR 97355-2875 | 2016-12-19 |
| 1598217408 | Heather Diane Balzomo | Social Worker | 675 N 5th St, Lebanon, OR 97355-2875 | 2016-10-26 |
| 1346653722 | Robert Paulsen Michael | Pediatrics | 675 N 5th St, Lebanon, OR 97355-2875 | 2014-06-03 |
| 1245586767 | Kara Christine Mintier | Neuromusculoskeletal Medicine & OMM | 675 N 5th St, Lebanon, OR 97355-2875 | 2012-08-02 |
| 1902183619 | Jessica Barton | Lactation Consultant, Non-RN | 675 N 5th St, Lebanon, OR 97355-2875 | 2011-11-09 |
| 1699063784 | Mid-valley Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 675 N 5th St, Lebanon, OR 97355-2875 | 2011-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
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| 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 |
|---|---|---|---|---|
| 1275154536 | Hannah Stefanik | Physician Assistant | 1434 E 400 S, Lebanon, IN 46052-9761 | 2020-04-28 |
| 1144869546 | Jared W Swain | Physician Assistant | 7 Kimball St Apt 20, Lebanon, NH 03766-1736 | 2020-01-02 |
| 1225511801 | Thomas Carroll | Physician Assistant | 1633 W Main St Ste 300, Lebanon, TN 37087-7800 | 2018-09-10 |
| 1962863241 | Jonathan David Barnett | Physician Assistant | 1420 W Baddour Pkwy Ste 110, Lebanon, TN 37087-1510 | 2016-03-14 |
| 1942684584 | Samantha Pellechio | Physician Assistant | 60 Haytown Rd, Lebanon, NJ 08833-4004 | 2015-07-14 |
| 1386035756 | Whitney Hanor | Physician Assistant | 720 Spring Meadow Ln, Lebanon, TN 37087-3397 | 2015-02-06 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1144510538 | Derek Varney | Physician Assistant | 735 Norman Dr # Dr3, Lebanon, PA 17042-7559 | 2011-04-19 |
| 1457656902 | Scott Darron Fowler | Physician Assistant | 155 Legends Drive, Suite I, Lebanon, TN 37087 | 2011-01-13 |
| 1043408503 | Peter A Rosenblum | Physician Assistant | 525 N. Santiam Hwy., Lebanon, OR 97355-3982 | 2007-10-10 |
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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.