KYLE ANDREW PACKER (NPI# 1710228986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710228986 |
| Entity Type | Individual |
| Full Name | KYLE ANDREW PACKER |
| Practice Address |
3400 Highway 78 E Ste 316 Jasper AL 35501-8951 |
| Mailing Address |
1130 22nd St S Ste 1000 Birmingham AL 35205-2881 |
| Practice Telephone | 2053857860 |
| Practice Fax Number | 2053857861 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2019-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | DO.2054 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7 Stream View Cir, Fairport, NY 144509570 | 5854250159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598197436 | Kyle Packer | Student in an Organized Health Care Education/Training Program | Ddeamc 300 Hospital Road, Fort Gordon, GA 30905 | 2013-08-02 |
| Street Address |
3400 HIGHWAY 78 E STE 316 |
| City | JASPER |
| State | AL |
| Zip Code | 35501-8951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
| 1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
| 1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
| 1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
| 1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
| 1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
| 1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
| 1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
| 1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
| 1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
| Find all providers in zip 35501 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1083671994 | Carol Lynn Adams | Surgery | 300 N Airport Rd Ste 2, Jasper, AL 35504-2516 | 2006-04-26 |
| 1467414359 | Roy Chu | Surgery | 80 Interstate South Dr, Ste B, Jasper, GA 30143-6226 | 2006-04-05 |
| 1700856432 | Le Roy W Hodges | Surgery | 80 Interstate South Dr Ste B, Jasper, GA 30143 | 2006-01-25 |
| 1952685083 | K.c. Surgical Associates, PC | Surgery | 3400 Highway 78 E, Medical Arts Tower #504, Jasper, AL 35501-8907 | 2011-10-07 |
| 1821389081 | John Isaac Baker | Surgery | 3400 Highway 78 E, Medical Arts Tower, Suite 502, Jasper, AL 35501-8956 | 2011-04-22 |
| 1093959082 | Jasper General Surgery | Surgery | 3400 Highway 78 E, Medical Arts Tower; Suite 504, Jasper, AL 35501-8907 | 2009-04-22 |
| 1013154632 | Bradley Dwayne Hare | Surgery | 80 Interstate South Dr Ste B, Jasper, GA 30143 | 2009-01-20 |
| 1841441458 | Carliss Christopher Graham | Surgery | 80 Interstate South Dr, Suite B, Jasper, GA 30143-6226 | 2008-10-02 |
| 1245423839 | Edward L Mosley Jr | Surgery | 980 Highway 28, Suite 203, Jasper, TN 37347-3695 | 2007-08-27 |
| Find all providers in JASPER | ||||
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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.