THERESA M. KEDDY (NPI# 1699019281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699019281 |
| Entity Type | Individual |
| Full Name | THERESA M. KEDDY |
| Credential | P.A. |
| Practice Address |
8d Canal Ct Avon CT 06001-3747 |
| Practice Telephone | 8606749686 |
| Mailing Telephone | 8606749686 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002854 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 574 Middle Tpke E, Manchester, CT 060403730 | 8606464334 | 8606467020 |
| Street Address |
8D CANAL CT |
| City | AVON |
| State | CT |
| Zip Code | 06001-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669407409 | Suzanne R. Cole | Family Medicine | 8d Canal Ct, Avon, CT 06001-3747 | 2006-07-11 |
| 1407103997 | Isis Sacramento Ferreira | Internal Medicine | 8d Canal Ct, Avon, CT 06001 | 2012-08-14 |
| 1992716898 | Jennifer A Violette | Physician Assistant | 8d Canal Ct, Avon, CT 06001-3747 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| 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 |
|---|---|---|---|---|
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1841848298 | Kayla Nichole Kawiecki | Physician Assistant | 2351 Chelsea St, Avon, OH 44011-5227 | 2019-08-29 |
| 1831591791 | Michael Czajka | Physician Assistant | 33100 Cleveland Clinic Blvd # 2-2, Avon, OH 44011-1390 | 2014-09-23 |
| 1043558596 | Kelly L Foutch | Physician Assistant | 8607 E Us Highway 36 Ste 300, Avon, IN 46123-7960 | 2013-01-17 |
| 1215291943 | Mari E. Friedman | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 348, Avon, IN 46123 | 2012-06-27 |
| 1346523636 | Amanda Duncan | Physician Assistant | 33100 Cleveland Clinic Blvd # 2-1, Avon, OH 44011-1390 | 2011-09-22 |
| 1134376304 | Katherine B Bares | Physician Assistant | 8 Canal Ct, Avon, CT 06001-3726 | 2008-08-19 |
| 1205059185 | Peter J. Dolan | Physician Assistant | 2077 Lakeville Rd, Suite 3, Avon, NY 14414 | 2007-04-10 |
| 1689640948 | Scott D. Petersen | Physician Assistant | 33300 Cleveland Clinic Blvd, Mail Code Avh4-143, Avon, OH 44011 | 2006-02-27 |
| 1467459206 | Don Armenoff | Physician Assistant | 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 | 2005-07-07 |
| Find all providers in AVON | ||||
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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.