PRAMODA FATEHCHAND (NPI# 1720389513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720389513 |
| Entity Type | Individual |
| Full Name | PRAMODA FATEHCHAND |
| Credential | PA C |
| Practice Address |
601 State Route 664 N Logan OH 43138-8541 |
| Mailing Address |
Po Box 228 Logan OH 43138-0228 |
| Practice Telephone | 7403808410 |
| Mailing Telephone | 7403808410 |
| Mailing Fax Number | 7403859197 |
| Enumeration Date | 2010-11-09 |
| 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 | 003529 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PPA01520 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0076776 | 05 |
| Street Address |
601 STATE ROUTE 664 N |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-8541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679566509 | Gail K Larkin | Nurse Anesthetist, Certified Registered | 601 State Route 664 N, Logan, OH 43138-8541 | 2005-08-25 |
| 1669096962 | Leah Kathleen Garrison | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2020-06-02 |
| 1285272849 | Geoffrey T Watson | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2019-12-13 |
| 1073159158 | Holly Christine Smith | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2019-11-23 |
| 1578105441 | Dawna Jean Evans | Pharmacist | 601 State Route 664 N, Logan, OH 43138-9648 | 2019-10-12 |
| 1871089748 | John Wesley Hart | Nurse Practitioner | 601 State Route 664 N, Logan, OH 43138-8541 | 2018-07-03 |
| 1144747270 | Kaitlin Elizabeth Angle | Clinic/Center | 601 State Route 664 N, Logan, OH 43138-8541 | 2017-08-29 |
| 1700301132 | Jacob M Craig | Occupational Therapy Assistant | 601 State Route 664 N, Logan, OH 43138-8541 | 2017-08-07 |
| 1427424126 | Kathleen Land | Occupational Therapy Assistant | 601 State Route 664 N, Logan, OH 43138-8541 | 2015-08-17 |
| 1083000137 | Denise Kiamy | Dietitian, Registered | 601 State Route 664 N, Logan, OH 43138-8541 | 2015-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| 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 |
|---|---|---|---|---|
| 1285298968 | Marissa Weeks | Physician Assistant | 16 W 1285 S, Logan, UT 84321-8549 | 2019-04-27 |
| 1447706007 | Conner Andrews | Physician Assistant | 7425 Old Main Hill, Logan, UT 84322 | 2016-09-01 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1003095373 | Adrienne Mcmaster | Physician Assistant | 2380 N 400 E Ste B, Logan, UT 84341-1756 | 2007-11-02 |
| 1538166855 | Ryan J Garfield | Physician Assistant | 1281 N 600 E, Logan, UT 84341-6988 | 2005-07-01 |
| 1134697477 | Adam Garfield | Physician Assistant | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2018-11-05 |
| 1609360940 | Benjamin D Adkins | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-20 |
| 1477067775 | Crystal Anne Burtis | Physician Assistant | 1325 N 600 E Ste 101, Logan, UT 84341-6743 | 2017-11-22 |
| 1861845638 | Chelsea Mackall | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-07-18 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
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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.