MR. JEFFREY KEITH CARMACK (NPI# 1861584500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861584500 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY KEITH CARMACK |
| Credential | PA |
| Practice Address |
87 Fenton St Ste 210 Livermore CA 94550-4100 |
| Practice Telephone | 9253730337 |
| Practice Fax Number | 9253730257 |
| Mailing Telephone | 9253730337 |
| Mailing Fax Number | 9253730257 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12549 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
87 FENTON ST STE 210 |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801880505 | Michael Robert Alper | Internal Medicine | 87 Fenton St, Suite 100, Livermore, CA 94550-4100 | 2005-09-08 |
| 1609256791 | John Muir Physician Network | Family Medicine | 87 Fenton St, Suite #210, Livermore, CA 94550-4100 | 2015-06-03 |
| 1104257674 | Ashley Schempp | Physical Therapist | 87 Fenton St, Livermore, CA 94550-4100 | 2013-12-09 |
| 1467705533 | Eric D. Luu & Lisa M. Nguyen | Dentist | 87 Fenton St, Ste 105, Livermore, CA 94550-4100 | 2012-10-26 |
| 1366741878 | Emily Elizabeth Heimer | Physical Therapist | 87 Fenton St, Suite 106, Livermore, CA 94550-4100 | 2011-03-23 |
| 1356592398 | Lisa Nguyen | Dentist | 87 Fenton St, Ste 105, Livermore, CA 94550-4100 | 2008-10-08 |
| 1619029410 | Sharon D Bagnall | Physical Therapist | 87 Fenton St, Suite 106, Livermore, CA 94550-4100 | 2007-01-18 |
| 1932268976 | Richard D Kilker Jr. | Family Medicine | 87 Fenton St, Suite 210, Livermore, CA 94550-4100 | 2006-12-06 |
| 1942371109 | Kristyn M Schlenker | Physical Therapist | 87 Fenton St, Suite 106, Livermore, CA 94550-4100 | 2006-11-10 |
| 1861587198 | Physiotherapy Associates Inc | Clinic/Center | 87 Fenton St, Suite 106, Livermore, CA 94550-4159 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| 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 |
|---|---|---|---|---|
| 1366811861 | Lindsey Morris | Physician Assistant | 2423 Harewood Dr, Livermore, CA 94551-1700 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
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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.