ALEXANDRA RAE TOLSDORF (NPI# 1881177376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881177376 |
| Entity Type | Individual |
| Full Name | ALEXANDRA RAE TOLSDORF |
| Credential | PA |
| Practice Address |
2307 S Highway 53 La Grange KY 40031-8568 |
| Mailing Address |
Po Box 94670 Oklahoma City OK 73143-4670 |
| Practice Telephone | 5022256277 |
| Mailing Telephone | 4056823303 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2433 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9710 Park Plaza Ave Unit 107, Louisville, KY 402412292 | 5023392901 |
| Street Address |
2307 S HIGHWAY 53 |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-8568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538135603 | Diane K. Wetherton | Pediatrics | 2307 S Highway 53, La Grange, KY 40031-8568 | 2006-02-27 |
| 1356836845 | Addie Elizabeth Burton | Registered Nurse | 2307 S Highway 53, La Grange, KY 40031-8568 | 2018-06-27 |
| 1174986046 | John Wehry | Pediatrics | 2307 S Highway 53, La Grange, KY 40031-8568 | 2016-03-30 |
| 1487783387 | Kristi Briscoe | Pediatrics | 2307 S Highway 53, La Grange, KY 40031-8568 | 2007-03-05 |
| 1538223235 | Oldham County Pediatrics, Pllc | Specialist | 2307 S Highway 53, La Grange, KY 40031-8568 | 2006-12-20 |
| 1477509875 | Amy Kennedy Bindner | Pediatrics | 2307 S Highway 53, La Grange, KY 40031-8568 | 2006-05-26 |
| 1316914765 | Julie M. Schuster | Pediatrics | 2307 S Highway 53, La Grange, KY 40031-8568 | 2006-03-03 |
| 1417923459 | Ashli N Collins | Pediatrics | 2307 S Highway 53, La Grange, KY 40031-8568 | 2006-02-28 |
| 1679549828 | Gregory Blair Robson | Pediatrics | 2307 S Highway 53, La Grange, KY 40031-8568 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| 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 |
|---|---|---|---|---|
| 1770146615 | Victoria Anne Engle | Physician Assistant | 1 Saint Marks Pl # 110, La Grange, TX 78945-1250 | 2019-04-16 |
| 1508850983 | John Thomas Moore | Physician Assistant | 2154 Sutton Hooten Ln, La Grange, NC 28551-8252 | 2005-08-31 |
| 1821537689 | Briana Peper | Physician Assistant | 4727 Willow Springs Rd Ste 3s, La Grange, IL 60525-6153 | 2017-02-13 |
| 1083164222 | Brooke Jennings | Physician Assistant | 1 Saint Marks Pl, La Grange, TX 78945-1250 | 2016-10-12 |
| 1750831129 | Kelsey York | Physician Assistant | 1415 W 47th St, La Grange, IL 60525-6136 | 2016-10-10 |
| 1912454067 | Olivia Rose Houck | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-09-07 |
| 1194186510 | Robert Jagger Hehre | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-03-12 |
| 1326404336 | Md Group Psc | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2016-01-06 |
| 1548691256 | Samantha Straight | Physician Assistant | 1006 New Moody Ln, La Grange, KY 40031-9122 | 2013-12-05 |
| 1770916397 | Chelsea L Jecmenek | Physician Assistant | 1253 N Von Minden St, La Grange, TX 78945-1262 | 2013-08-19 |
| Find all providers in LA GRANGE | ||||
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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.