DELETRA MICHELLE WILKE (NPI# 1841731817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841731817 |
| Entity Type | Individual |
| Full Name | DELETRA MICHELLE WILKE |
| Credential | PA |
| Practice Address |
3959 Highway 411 Madisonville TN 37354-4417 |
| Mailing Address |
Po Box 5777 Maryville TN 37802-5777 |
| Practice Telephone | 4234422121 |
| Practice Fax Number | 8652462106 |
| Mailing Telephone | 8652462104 |
| Mailing Fax Number | 8652462106 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3239 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3959 HIGHWAY 411 |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528388592 | Gregory Brian Cain | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2010-06-01 |
| 1023542784 | East Tennessee Pediatrics | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2017-04-19 |
| 1780117283 | Occupational Health Partners | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2017-04-11 |
| 1861780496 | Madisonville Primary Care Group | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| Find all providers in zip 37354 | ||||
| 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 |
|---|---|---|---|---|
| 1982254348 | Hammond Surgical Assist, L.L.C. | Physician Assistant | 160 Windermere Way, Madisonville, LA 70447-9262 | 2019-09-18 |
| 1528388592 | Gregory Brian Cain | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2010-06-01 |
| 1679510564 | Eric M. Hofmann | Physician Assistant | 1851 N Main St, Madisonville, KY 42431-9007 | 2006-06-01 |
| 1295213973 | Sandra Alexis Soriano | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2018-08-03 |
| 1023542784 | East Tennessee Pediatrics | Physician Assistant | 3959 Highway 411, Madisonville, TN 37354-4417 | 2017-04-19 |
| 1972966612 | Rebecca V Tauil | Physician Assistant | 444 S Main St, Madisonville, KY 42431-2846 | 2016-03-31 |
| 1003295197 | Hunter Robinson Stidham | Physician Assistant | 900 Hospital Dr, Madisonville, KY 42431 | 2015-05-22 |
| 1407269368 | Behavioral Health Specialists Pllc | Physician Assistant | 465 Isbill Rd, Madisonville, TN 37354-2112 | 2014-06-09 |
| 1861818437 | Heidie A Fisher | Physician Assistant | 321 Tellico St S, Madisonville, TN 37354-1194 | 2014-03-06 |
| 1851713275 | Savannah Wetzler | Physician Assistant | 1613 E Main St, Madisonville, TX 77864-2207 | 2014-01-21 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
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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.