CHARLES W. KLEIN III (NPI# 1700105194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700105194 |
| Entity Type | Individual |
| Full Name | CHARLES W. KLEIN III |
| Credential | PA-C |
| Practice Address |
218 Quarterman St Waycross GA 31501-3547 |
| Practice Telephone | 9122870301 |
| Practice Fax Number | 9122870301 |
| Mailing Telephone | 9122870301 |
| Mailing Fax Number | 9122871568 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2014-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005819 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003103924D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861577801 | Charles B. Klein | Optometrist | 7119 Austin St, Forest Hills, NY 11375-4720 | 2006-10-26 |
| 1730319880 | Charles J Klein | Pharmacist | 1360 Columbia Ave, Lancaster, PA 17603-4700 | 2009-07-23 |
| 1740275080 | Charles A Klein | Orthopaedic Surgery | 2500 N Mayfair Rd, Suite 500, Wauwatosa, WI 53226-1409 | 2005-09-13 |
| Street Address |
218 QUARTERMAN ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487665733 | Mckinney Medical Center Inc | Clinic/Center | 218 Quarterman St, Waycross, GA 31501 | 2006-08-11 |
| 1346668407 | Donald Neal Griffis Jr. | Nurse Practitioner | 218 Quarterman St, Waycross, GA 31501-3547 | 2014-04-04 |
| 1508112079 | Rhonda Christina Williams | Registered Nurse | 218 Quarterman St, Waycross, GA 31501-3547 | 2012-08-02 |
| 1861717456 | David A Heuett Jr. | Dentist | 218 Quarterman St, Waycross, GA 31501-3547 | 2010-04-07 |
| 1326290644 | Elizabeth Viruet | Dentist | 218 Quarterman St, Waycross, GA 31501-3547 | 2008-10-17 |
| 1265655625 | Hannah Carter Horner | Physician Assistant | 218 Quarterman St, Waycross, GA 31501-3547 | 2007-04-11 |
| 1629148069 | Krupavathi Maramreddy | Specialist | 218 Quarterman St, Waycross, GA 31501-3547 | 2006-11-09 |
| 1457463812 | Dan A Lott | Specialist | 218 Quarterman St, Waycross, GA 31501-3547 | 2006-08-31 |
| 1295746477 | James C. Morton Jr. | Dentist | 218 Quarterman St, Waycross, GA 31501-3547 | 2006-08-11 |
| 1215948260 | Earl T Martin | Family Medicine | 218 Quarterman St, Waycross, GA 31501 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| 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 |
|---|---|---|---|---|
| 1740893148 | Colleen Chloe Mcconnell | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2020-08-25 |
| 1174188668 | Carly Zoe Swett | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2019-05-09 |
| 1629544358 | Anna Marie Bogdanov | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501 | 2018-10-20 |
| 1780119487 | Morraine Hill Inpatient Services LLC | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2017-05-01 |
| 1780056648 | Hot Springs Emergency Physicians, LLC | Physician Assistant | 410 Darling Ave, Waycross, GA 31501-5246 | 2015-10-30 |
| 1699179663 | Margaret Bishop | Physician Assistant | 1900 Tebeau St, Waycross, GA 31501-6357 | 2014-10-20 |
| 1952743932 | David Robert Gill | Physician Assistant | 1900 Tebeau St, Satilla Mayo Emergency Department, Waycross, GA 31501-6357 | 2013-07-19 |
| 1073837555 | Ricky O Tatum | Physician Assistant | 1007 Mary St, Waycross, GA 31503-3823 | 2010-03-26 |
| 1578750568 | Ashleigh Lewis Johnson | Physician Assistant | 1720 Old Reynolds St, Waycross, GA 31501 | 2007-10-03 |
| 1629283023 | William Stephen Hutcheson | Physician Assistant | 1908 Alice St, Waycross, GA 31501-6208 | 2007-05-11 |
| Find all providers in WAYCROSS | ||||
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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.