MR. DEXTER JORDAN WITCHEY (NPI# 1851800627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851800627 |
Entity Type | Individual |
Full Name | MR. DEXTER JORDAN WITCHEY |
Credential | PA-C |
Practice Address |
751 Liberty St Meadville PA 16335-2559 |
Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
Practice Telephone | 8143335000 |
Mailing Telephone | 8143337016 |
Mailing Fax Number | 8143331757 |
Enumeration Date | 2017-09-25 |
Last Update Date | 2017-11-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA059313 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA004264 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
751 LIBERTY ST |
City | MEADVILLE |
State | PA |
Zip Code | 16335-2559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233568 | William D. Sullivan | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2005-05-31 |
1134745094 | Nico Ferreras | Family Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2020-06-17 |
1629699236 | Sarah Elizabeth Potts | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-05-05 |
1225659667 | Jennifer Lynne Babins | Student in an Organized Health Care Education/Training Program | 751 Liberty St, Meadville, PA 16335-2591 | 2020-04-27 |
1699395509 | Zachary Paul Henderson | Family Medicine | 751 Liberty St, Meadville, PA 16335-2559 | 2020-04-21 |
1821635699 | Nicole Marie Temple | Physical Therapy Assistant | 751 Liberty St, Meadville, PA 16335-2591 | 2019-11-29 |
1235775651 | Alfred Leonard Hartick Iv | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-20 |
1215573936 | Melvin Burger Jr. | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-19 |
1588209589 | Ryan Brennan | Physical Therapist | 751 Liberty St, Meadville, PA 16335-2559 | 2019-11-13 |
1629633573 | Meadville Medical Center | Internal Medicine | 751 Liberty St, Meadville, PA 16335-2591 | 2019-05-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
Find all providers in zip 16335 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154874808 | Kelsey M Snyder | Physician Assistant | 765 Liberty St Ste 207a, Meadville, PA 16335-2568 | 2016-07-29 |
1629557111 | Cassidi Ann Udy I | Physician Assistant | 765 Liberty St Ste 105, Meadville, PA 16335-2567 | 2018-08-07 |
1861985657 | Robert Lee Black IIi | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2018-06-07 |
1497264964 | Shannon Marie Queiser | Physician Assistant | 751 Liberty St, Meadville, PA 16335-2559 | 2017-09-27 |
1942719711 | Nichole B Witchey | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2017-09-25 |
1275913907 | Anna E Jeffries | Physician Assistant | 640 Alden St, Meadville, PA 16335-2348 | 2015-06-08 |
1063817039 | Kaleigh Nicole Simcoe | Physician Assistant | 1015 Grove St, Meadville, PA 16335-2905 | 2014-11-03 |
1336557891 | Karen A Roche | Physician Assistant | 765 Liberty St Ste 105, Meadville, PA 16335-2567 | 2014-07-29 |
1811243470 | Alicia Jean Campbell | Physician Assistant | 105 Mead Ave, Suite C, Meadville, PA 16335-3531 | 2012-07-31 |
1548553712 | Anthony James Quindardo | Physician Assistant | 16332 Conneaut Lake Rd, Meadville, PA 16335-3843 | 2011-05-20 |
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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.