HEATHER KOHLI-WERNER (NPI# 1720319452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720319452 |
| Entity Type | Individual |
| Full Name | HEATHER KOHLI-WERNER |
| Credential | PA-C |
| Practice Address |
11101 Cathage Rd Berlin MD 21811 |
| Mailing Address |
100 E Carroll St Salisbury MD 21801-5422 |
| Practice Telephone | 4109126104 |
| Practice Fax Number | 4102081872 |
| Mailing Telephone | 4105437531 |
| Mailing Fax Number | 4109126386 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0006714 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | C5-0000888 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0110003851 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1088241 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1720319452 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30668 Sussex Hwy, Laurel, DE 199564421 | 3028756550 |
| Street Address |
11101 CATHAGE RD |
| City | BERLIN |
| State | MD |
| Zip Code | 21811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801975750 | Jody L Halcott | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811 | 2006-11-03 |
| 1144707720 | Jordan Pearson Braniff | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2018-07-26 |
| 1033661780 | Sharon Hartman | Pharmacist | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2016-10-28 |
| 1851795017 | Tidalhealth Peninsula Regional, Inc. | Pharmacy | 11101 Cathage Rd, Berlin, MD 21811 | 2014-10-17 |
| 1457583759 | Lori Michele Latona | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2009-08-20 |
| 1548419476 | Mairen L Baunhofer | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811 | 2008-09-16 |
| 1902082233 | Tammy Lynn Donoway | Family Medicine | 11101 Cathage Rd, Berlin, MD 21811 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| 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 |
|---|---|---|---|---|
| 1588223754 | Autumn Smith | Physician Assistant | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-06-11 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1346620390 | Berlin Medical Associates | Physician Assistant | 175 Cross Keys Rd Ste 300b, Berlin, NJ 08009-9263 | 2015-06-04 |
| 1376955096 | Joseph Sicard | Physician Assistant | 798 U.S. Route 302, Berlin, VT 05602 | 2014-05-29 |
| 1376984229 | Michael A Puglisi | Physician Assistant | 225 Memorial Dr Ste 1100, Berlin, WI 54923-1243 | 2013-07-08 |
| 1538439278 | Jennifer Lynn Burrows | Physician Assistant | 339 N Route 73 Ste 1, Berlin, NJ 08009-9707 | 2012-01-11 |
| 1679897615 | Rosanna J Woodard | Physician Assistant | 1311 Barre-montpelier Rd, Suite 200, Berlin, VT 05602-9516 | 2010-03-19 |
| 1376878025 | Todd Morgan | Physician Assistant | 1311 Barre- Montpelier Rd, Cvmc Expresscare, Berlin, VT 05602-0000 | 2009-10-14 |
| 1295734069 | Anna M Freeman | Physician Assistant | 11101 Cathage Rd., Berlin, MD 21811 | 2005-07-14 |
| 1710502265 | Stephanie Klika | Physician Assistant | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2020-06-10 |
| Find all providers in BERLIN | ||||
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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.