MR. JEREMY BICKETT (NPI# 1770689150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770689150 |
| Entity Type | Individual |
| Full Name | MR. JEREMY BICKETT |
| Credential | P.A.-C. |
| Practice Address |
33 W Rahn Rd Dayton OH 45429-2219 |
| Practice Telephone | 9374338990 |
| Practice Fax Number | 9374338691 |
| Mailing Telephone | 9374338990 |
| Mailing Fax Number | 9374338691 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50002487 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50-002487 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0075430 | 05 | |
| OH | OHIO LICENSE | 50002487 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Miamisburg Centerville Rd, Suite 410, Miamisburg, OH 453427615 | 9373848773 | 9373840794 |
| Street Address |
33 W RAHN RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399020 | Chandra Nicole Swiech | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2020-09-03 |
| 1801413307 | Nadia Haller | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2020-06-30 |
| 1225673130 | Vicky L Peck | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-11-14 |
| 1073164497 | Smanpreet K Sandhu | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-09-26 |
| 1316597453 | Taylor M Monus | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-09-19 |
| 1447807888 | Kaleigh B Gruenberg | Hospitalist | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-08-21 |
| 1427513795 | Kelly M Mccockran | Registered Nurse | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-01-31 |
| 1255815999 | Krisha Caitlin Thomas | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2018-09-19 |
| 1538648241 | Kelsey Girard | Hospitalist | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2018-08-13 |
| 1477032993 | Kathryn E Sharits | Physician Assistant | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2018-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| 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 |
|---|---|---|---|---|
| 1861091241 | Beau Webb | Physician Assistant | 6017 Cruxten Dr, Dayton, OH 45424-3702 | 2020-10-18 |
| 1043838782 | Marie Therese Mualla Oram | Physician Assistant | 204 Sears St Apt 518, Dayton, OH 45402-1573 | 2020-07-09 |
| 1720542509 | Herodina Ibanez Lu | Physician Assistant | 1 Elizabeth Pl Nwb Ste 15, Dayton, OH 45417-3445 | 2019-01-25 |
| 1427585819 | Mita Morar | Physician Assistant | 938 Olde Sterling Way, Dayton, OH 45459-3100 | 2017-05-16 |
| 1306394275 | Danielle Elizabeth Tirjer Cleary | Physician Assistant | 320 Judith Dr, Dayton, OH 45429-5306 | 2016-09-20 |
| 1831555234 | Lisa Byers | Physician Assistant | 7980 N Main St, Dayton, OH 45415-2328 | 2016-01-14 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1104201730 | Dominique Hunt | Physician Assistant | 5300 Far Hills Ave Ste 300, Dayton, OH 45429-2381 | 2015-07-24 |
| 1285025957 | Holly Griffin | Physician Assistant | 4340 Clyo Rd, Dayton, OH 45459-7000 | 2015-02-16 |
| 1073885216 | Shawn Breeding | Physician Assistant | 627 Edwin C. Moses Blvd, Suite K, Dayton, OH 45417-3474 | 2012-02-03 |
| Find all providers in DAYTON | ||||
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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.