KENNETH DEAN RICHARD DABOLT (NPI# 1881189116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881189116 |
| Entity Type | Individual |
| Full Name | KENNETH DEAN RICHARD DABOLT |
| Credential | RPA-C |
| Practice Address |
224 E Main St Springville NY 14141-1443 |
| Practice Telephone | 7165928140 |
| Mailing Telephone | 7165928140 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 022107-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
224 E MAIN ST |
| City | SPRINGVILLE |
| State | NY |
| Zip Code | 14141-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891757 | Jessica Judware | Physical Therapist | 224 E Main St, Springville, NY 14141-1443 | 2020-01-28 |
| 1720619919 | Emily King | Physical Therapist | 224 E Main St, Springville, NY 14141-1443 | 2020-01-28 |
| 1407495773 | Trinity Medical Wny PC | Durable Medical Equipment & Medical Supplies | 224 E Main St, Springville, NY 14141-1443 | 2020-01-03 |
| 1487215885 | Medical Services of Buffalo, PC | Hospitalist | 224 E Main St, Springville, NY 14141-1443 | 2019-06-26 |
| 1114412905 | Daniel Harold Karstedt | Physician Assistant | 224 E Main St, Springville, NY 14141-1443 | 2018-06-25 |
| 1154819522 | Kathleen Marie Hebdon | Registered Nurse | 224 E Main St, Springville, NY 14141-1497 | 2018-05-01 |
| 1255829644 | Sheri Plummer | Registered Nurse | 224 E Main St, Springville, NY 14141-1443 | 2018-05-01 |
| 1659724284 | Sarah J Krempa | Nurse Practitioner | 224 E Main St, Springville, NY 14141-1443 | 2016-07-19 |
| 1093164725 | Melissa Bryson | Nurse Practitioner | 224 E Main St, Springville, NY 14141-1443 | 2016-06-03 |
| 1790127132 | Somnuus Certified Registered Professional Nurse Anesthetist, Pllc | Nurse Anesthetist, Certified Registered | 224 E Main St, Springville, NY 14141-1443 | 2013-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831666114 | Lauren Victoria Manchester | Student in an Organized Health Care Education/Training Program | 290 Vaughn Street, Springville, NY 14141 | 2018-10-25 |
| 1366950479 | Buffalo Orthopaedic Group, LLP | Orthopaedic Surgery | 224 East Main St., Buffalo Orthopaedic Group, LLP, Springville, NY 14141 | 2018-01-11 |
| 1104195130 | Mary Ann Garlock | Speech-Language Pathologist | 290 North Buffalo St, Springville, NY 14141 | 2011-12-20 |
| 1124341128 | Susan K Bancroft | Pharmacist | 316 S.cascade Dr., Springville, NY 14141 | 2010-03-04 |
| 1710132204 | Rhonda C. Cecala | Licensed Practical Nurse | 337 North Buffalo Street, Springville, NY 14141 | 2008-11-25 |
| 1538340278 | Darren W Love | Pharmacist | 184 So Cascade Dr, Springville, NY 14141 | 2007-11-23 |
| 1891882320 | Theodore M Steinwachs | Physician Assistant | 24 Franklin Street, Springville, NY 14141 | 2006-10-06 |
| 1659489201 | Amy Elizabeth Schmitt-kingston | Dentist | 13832 White St, Springville, NY 14141 | 2006-08-25 |
| 1548274459 | Chiropractic Care Pllc | Chiropractor | 85 Franklin St, Springville, NY 14141 | 2006-07-28 |
| 1619922770 | Lori Ann Baker | Nurse Anesthetist, Certified Registered | Bertrand Chaffee Hospital, 224 East Main Street, Springville, NY 14141 | 2006-05-24 |
| Find all providers in zip 14141 | ||||
| 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 |
|---|---|---|---|---|
| 1891882320 | Theodore M Steinwachs | Physician Assistant | 24 Franklin Street, Springville, NY 14141 | 2006-10-06 |
| 1063047116 | Alyxis Mitrowski | Physician Assistant | 230 S Cascade Dr, Springville, NY 14141-9275 | 2020-03-10 |
| 1104224815 | Mallory M Danielson | Physician Assistant | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2014-12-11 |
| 1396154530 | Christopher Nelson | Physician Assistant | 376 E 400 S, Springville, UT 84663-1977 | 2014-08-12 |
| 1235551409 | Derick W Moody | Physician Assistant | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2014-01-07 |
| 1194026484 | Sarah A Andrews | Physician Assistant | 224 E Main St, Springville, NY 14141-1443 | 2010-11-03 |
| 1700036464 | Monica K Balon | Physician Assistant | 27 Franklin St, Suite 1, Springville, NY 14141-1375 | 2008-09-30 |
| 1386857829 | Carol Sue Tanner | Physician Assistant | 672 W 400 S Ste 201, Springville, UT 84663-3170 | 2007-05-08 |
| 1710068325 | Service Medical | Physician Assistant | 27 Franklin St, Springville, NY 14141-1314 | 2006-10-18 |
| 1902998974 | Melissa Fanton | Physician Assistant | 210 E Main St, Springville, NY 14141-1442 | 2006-09-28 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 14141 |
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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.