MAKENZIE T TILLER (NPI# 1871089508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871089508 |
| Entity Type | Individual |
| Full Name | MAKENZIE T TILLER |
| Credential | PA-C |
| Practice Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3048245806 |
| Mailing Telephone | 3048245806 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2189 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2189 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7400 LYNN AVE |
| City | HAMLIN |
| State | WV |
| Zip Code | 25523-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932109444 | Courtney Kovach Reynolds | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2005-07-26 |
| 1235774910 | Austin Dale Tiller | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2019-11-17 |
| 1992224745 | Richard Keith Finley | Pharmacist | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-09-13 |
| 1639694821 | Lorin Belcher | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-08-08 |
| 1528588563 | Aaron Hemlepp | Social Worker | 7400 Lynn Ave, Hamlin, WV 25523 | 2017-06-21 |
| 1992230262 | Laura Given | Family Medicine | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-04-25 |
| 1578018214 | Mara Wright Sutphin | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-08-23 |
| 1275986143 | Lisa Adkins | Nurse Practitioner | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-07-15 |
| 1801254412 | Jack Doty IIi | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-02-10 |
| 1265808422 | Alexis Marie Jones | Nurse Practitioner | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061747 | Jacqueline Jeffery | Technician | 43 Lees Lake Rd, Branchland, WV 25523 | 2020-07-23 |
| 1548708530 | William Timothy Denney | Counselor | 8009 Lynn Ave, Hamlin, WV 25523 | 2017-02-09 |
| 1689053621 | Salina A. Lyter | Clinical Exercise Physiologist | 51 Tortoise Ln., Hamlin, WV 25523 | 2015-05-22 |
| 1295179711 | Tri River Transit Authority | Non-emergency Medical Transport (VAN) | 753 Marconi Drive, Hamlin, WV 25523 | 2013-04-26 |
| 1841598125 | Maggi (margaret) Louise Perl | Massage Therapist | At Sharon's Kut & Kurl White's Shopping Plaza, Maggi's Massage Therapy, Hamlin, WV 25523 | 2011-03-10 |
| 1861662199 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 7400 Lynn Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1295905610 | Kidney Associates Pllc | Internal Medicine | 8152-b Court Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1437336963 | Kelly Renee Kinder | Psychologist | 10 Marland Avenue, Hamlin, WV 25523 | 2008-01-28 |
| 1710184049 | Lincoln County Board of Education | Local Education Agency (LEA) | 10 Marland Ave, Hamlin, WV 25523 | 2007-06-29 |
| 1548359755 | Lincoln County Health Department | Public Health or Welfare | 8008 Court Ave, Courthouse Annex, Hamlin, WV 25523 | 2006-10-12 |
| Find all providers in zip 25523 | ||||
| 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 |
|---|---|---|---|---|
| 1639694821 | Lorin Belcher | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2017-08-08 |
| 1578018214 | Mara Wright Sutphin | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2016-08-23 |
| 1790810307 | Thomas Belford | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2007-02-22 |
| 1598739807 | Michael L Grome | Physician Assistant | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798321 | Trenton Ryan Johnson | Physician Assistant | 174 Country Ln, Kenna, WV 25248-7225 | 2020-10-26 |
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518564012 | Lauren Brianne Peyton | Physician Assistant | 5322 Indiana St Apt 4, South Charleston, WV 25309-1055 | 2020-10-07 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1336754639 | Brittany Marie Herber | Physician Assistant | 22 Solomons Ct, Hedgesville, WV 25427-3683 | 2020-09-14 |
| 1417568312 | Kelsea Martin | Physician Assistant | 6 Dogwood St, Philippi, WV 26416-1660 | 2020-08-13 |
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1912539628 | Abigail Renee Grant | Physician Assistant | 123 Main Ave, Nitro, WV 25143-1270 | 2020-02-11 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
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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.