ALYSSA STOCKE (NPI# 1720485550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720485550 |
| Entity Type | Individual |
| Full Name | ALYSSA STOCKE |
| Other Name | ALYSSA SURBER |
| Credential | PA-C |
| Practice Address |
813 E 4th St Ste A Mount Vernon IN 47620-2012 |
| Mailing Address |
Po Box 13059 Belfast ME 04915-4021 |
| Practice Telephone | 8124501325 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2019-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001773A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
10001773A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
813 E 4TH ST STE A |
| City | MOUNT VERNON |
| State | IN |
| Zip Code | 47620-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609108976 | Deaconess Clinc Inc | Family Medicine | 813 E 4th St Ste A, Mount Vernon, IN 47620-2012 | 2010-02-11 |
| 1407475627 | Keely Nicole Brown | Nurse Practitioner | 813 E 4th St Ste A, Mount Vernon, IN 47620-2012 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528434024 | Derek M Solomon | Physical Therapist | 526 E 4th St, Mount Vernon, IN 47620 | 2015-08-19 |
| 1225235492 | Michael Constancio Respicio Mahinay Iv | Specialist | 1250 Main St, #1282, Mount Vernon, IN 47620 | 2007-06-29 |
| 1144348145 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1410 Clover St, Mt Vernon, IN 47620 | 2007-03-27 |
| 1902842941 | Matthew R Lee | Family Medicine | 1900 West Fourth Street, Suite 4, Mount Vernon, IN 47620 | 2006-06-20 |
| 1467945139 | Shannon Brittany Lee | Registered Nurse | 1900 W 4th St, Mount Vernon, IN 47620 | 2018-06-07 |
| 1235673989 | Rehabfocus LLC | Physical Therapist | 1250 Main St, #1282, Mount Vernon, IN 47620 | 2016-12-15 |
| 1184960007 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1415 Country Club Rd, Mount Vernon, IN 47620 | 2012-12-20 |
| 1629038724 | David J Julian | Family Medicine | 1900 W 4th St, Mt Vernon, IN 47620 | 2006-03-24 |
| 1760891618 | David N. Wells | Dentist | 803 East Fourth Street, Mount Vernon, IN 47620-0673 | 2014-08-05 |
| 1104142918 | David Keith Uebelhack | Dentist | 803 East Fourth St., Mount Vernon, IN 47620-0673 | 2010-04-19 |
| Find all providers in zip 47620 | ||||
| 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 |
|---|---|---|---|---|
| 1982249124 | Leticia B Barrientos | Physician Assistant | 472 Gramatan Ave Apt Bb4, Mount Vernon, NY 10552-2979 | 2019-11-12 |
| 1396390522 | Elizabeth Kuriakose | Physician Assistant | 203 Gramatan Ave Ste A, Mount Vernon, NY 10550-1291 | 2019-08-05 |
| 1174941728 | Lyndsey Switzer | Physician Assistant | 1600 Continental Pl Ste 101, Mount Vernon, WA 98273-5607 | 2014-04-01 |
| 1255585311 | Pamela Welch | Physician Assistant | 5754 Farm Road 21, Mount Vernon, TX 75457-7749 | 2008-11-15 |
| 1881857787 | Telesforo Llamas Jr. | Physician Assistant | 2 Fisher Dr, Apartment 607, Mount Vernon, NY 10552-3666 | 2008-07-10 |
| 1275712614 | Naima R Abdus-salaam | Physician Assistant | 495 N Fulton Ave, Mount Vernon, NY 10552-1909 | 2007-11-02 |
| 1316006588 | Lee Barry Leavelle | Physician Assistant | 107 W 4th Street, Mount Vernon Neighborhood Health Ctr, Mount Vernon, NY 10550 | 2006-12-06 |
| 1215096359 | Patricia Taddeo | Physician Assistant | 107 West Fourth St, Mount Vernon Neighborhood Health Center, Mount Vernon, NY 10550 | 2006-12-06 |
| 1831270065 | Rochelle A, Trussell | Physician Assistant | 1400 E. Kincaid St, Mount Vernon, WA 98274-4127 | 2006-10-17 |
| 1750497061 | Shirley Dallmier | Physician Assistant | 3307 Broadway St Ste 130, Physician Rural Health Clinic of Jefferson County, Mount Vernon, IL 62864-2387 | 2006-08-21 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 47620 |
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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.