KIMBERLY ANN MERRILL (NPI# 1801306758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801306758 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN MERRILL |
| Credential | PA-C, MPH, MMS |
| Practice Address |
300 Birnie Ave Ste 201 Springfield MA 01107-1121 |
| Practice Telephone | 4137854666 |
| Practice Fax Number | 4138464756 |
| Mailing Telephone | 4137854666 |
| Mailing Fax Number | 4138464756 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1313 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639619364 | Kimberly Merrill | Counselor | 2 Wall St, Ste 400, Manchester, NH 03101-1518 | 2017-02-28 |
| 1225325921 | Kimberly Hageman Merrill | Nurse Practitioner | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2011-07-01 |
| 1811058605 | Kimberly Kaye Merrill | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2006-12-13 |
| Street Address |
300 BIRNIE AVE STE 201 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
| 1518580513 | Matthew Ernest Girard | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2020-05-26 |
| 1497308803 | Christopher D'astous | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2019-07-24 |
| 1750845103 | Melissa E Giovaninni | Physical Therapy Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2019-01-29 |
| 1871017889 | Brianna Lawlor | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2017-08-01 |
| 1578092821 | Casey Lynn Emge | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2017-06-09 |
| 1619318060 | Alexander Trexler Brothers | Orthopaedic Surgery | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2013-07-15 |
| 1376981266 | Michael Brody O'sullivan | Orthopaedic Surgery | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2013-06-13 |
| 1174885883 | Connor Ziegler | Orthopaedic Surgery | 300 Birnie Ave Ste 201, Springfield, MA 01107 | 2012-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| 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 |
|---|---|---|---|---|
| 1972123289 | Jared Anthony Dias | Physician Assistant | 52 Devens St, Springfield, MA 01151-2304 | 2020-04-16 |
| 1659990976 | Maham Siddiqui | Physician Assistant | 8632 Hillside Manor Dr, Springfield, VA 22152-2238 | 2020-04-16 |
| 1558994772 | Kayla Rice | Physician Assistant | 3640 Main St Ste 103, Springfield, MA 01107-1139 | 2020-02-17 |
| 1487286563 | Michayla Marcil | Physician Assistant | 280 Chestnut St Fl 2, Springfield, MA 01199-1001 | 2020-02-06 |
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1023670593 | Michael Peter Lembotesis | Physician Assistant | 629 Evans Rd, Springfield, PA 19064-3033 | 2019-07-03 |
| 1245795558 | Alexandra Marie Cutler | Physician Assistant | 1437 S Gelven Ave, Springfield, MO 65804-2124 | 2019-01-31 |
| 1598265894 | Kelsey L. Magill | Physician Assistant | 3231 S National Ave Ste 440, Springfield, MO 65807-7304 | 2018-02-14 |
| 1447759592 | Darrell Dewain Edwards | Physician Assistant | 4350 S National Ave Ste C200, Springfield, MO 65810-2782 | 2018-02-05 |
| 1164930087 | Ashley Jean Nichole Leutze | Physician Assistant | 1164 E Home Rd Ste J, Springfield, OH 45503-2726 | 2018-01-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.