KATHLEEN DEVAN EARLY (NPI# 1750833729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750833729 |
Entity Type | Individual |
Full Name | KATHLEEN DEVAN EARLY |
Credential | PA-C,ATC/L |
Practice Address |
3650 J Dewey Gray Cir Augusta GA 30909-1867 |
Mailing Address |
Po Box 14039 Augusta GA 30919-0039 |
Practice Telephone | 7068639797 |
Practice Fax Number | 7068607686 |
Mailing Telephone | 7068639797 |
Mailing Fax Number | 7068607686 |
Enumeration Date | 2016-10-26 |
Last Update Date | 2016-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
8140 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003831157 | Kathleen M Early | Kinesiotherapist | 48 Riverside Dr, Campton, NH 03223-4653 | 2006-07-12 |
1861022394 | Kathleen Joan Early | Licensed Practical Nurse | 44 Ackley Ct, Malverne, NY 11565-1905 | 2020-01-23 |
Street Address |
3650 J DEWEY GRAY CIR |
City | AUGUSTA |
State | GA |
Zip Code | 30909-1867 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174523419 | Myron D F Collins | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2005-07-28 |
1699380493 | Jaison D Majzer | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2020-09-09 |
1225458755 | Aos Surgery Center LLC | Clinic/Center | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2014-04-23 |
1730420183 | Ashley Michelle Shelton | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2013-03-11 |
1114238474 | Nicholas Michael Capito | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909 | 2010-07-01 |
1174858310 | Jason Donald Lee | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
1003141243 | Stacy Leigh Rush | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
1972838118 | Derek Martin Lamb | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
1366776866 | Michael Frederic Pruitt | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-09-30 |
1740423243 | Van Lee Malia | Physical Medicine & Rehabilitation | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
1053498519 | Charles P Bean | Physician Assistant | 818 Saint Sebastian Way Ste 403, Augusta, GA 30901-2654 | 2006-11-01 |
1891703633 | Stephen W Thompson | Physician Assistant | 1003 Chafee Ave, Augusta, GA 30904-5867 | 2006-08-04 |
1194363119 | Kinya Warren | Physician Assistant | 950 15th St, Augusta, GA 30901-2608 | 2019-12-20 |
1801307384 | Molly Nadeau | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2017-10-24 |
1477090900 | Renee Fritz | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2017-01-23 |
1427505940 | Kit Taylor | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-09-01 |
1912389347 | Eric Daniels | Physician Assistant | 15 Enterprise Dr, Augusta, ME 04330-7997 | 2015-06-22 |
1194159111 | Marc Leduc | Physician Assistant | 1120 15th St, Suite Bp 4134, Augusta, GA 30912-0004 | 2013-08-27 |
1730420183 | Ashley Michelle Shelton | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2013-03-11 |
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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.