KIMBERLY LYNN UNDERWOOD (NPI# 1891829560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891829560 |
| Entity Type | Individual |
| Full Name | KIMBERLY LYNN UNDERWOOD |
| Credential | PA-C |
| Practice Address |
1934 Niles Cortland Rd Ne Ste B Warren OH 44484-1055 |
| Practice Telephone | 3308414032 |
| Practice Fax Number | 3308414381 |
| Mailing Telephone | 3308414032 |
| Mailing Fax Number | 3308414381 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.002206 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0084823 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790140127 | Kimberly Underwood | Counselor | 105 Magnolia Gardens Walk, Mcdonough, GA 30253-6076 | 2015-12-30 |
| 1679763940 | Kimberly Underwood | Marriage & Family Therapist | 615 13th St Ste B, Modesto, CA 95354-2456 | 2007-08-01 |
| 1235507989 | Kimberly M Underwood | Physical Therapist | 7855 Argyle Forest Blvd, 504, Jacksonville, FL 32244-5596 | 2015-09-11 |
| 1033455571 | Kimberly Ann Underwood | Physical Therapy Assistant | 1550 Raydale Dr, Louisville, KY 40219-5031 | 2013-01-02 |
| Street Address |
1934 NILES CORTLAND RD NE STE B |
| City | WARREN |
| State | OH |
| Zip Code | 44484-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881723906 | Lokesh B Ningegowda | Anesthesiology | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2007-03-05 |
| 1437572120 | Allyssa Bohanan | Nurse Practitioner | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2014-01-30 |
| 1669759965 | Dana Jo Walker | Nurse Practitioner | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2011-11-15 |
| 1922262641 | Maged Farouk Fouad | Anesthesiology | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484 | 2008-07-11 |
| 1346422615 | Marisa Marie Wynne | Anesthesiology | 1934 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| 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 |
|---|---|---|---|---|
| 1902421373 | Monique Mana | Physician Assistant | 28345 Marcia Ave, Warren, MI 48093-7209 | 2020-06-11 |
| 1790151264 | Mika Wexler Sachs | Physician Assistant | 11900 East 12 Mile Road, Suite 201, Warren, MI 48093 | 2015-08-19 |
| 1962832733 | Autumn Rancourt | Physician Assistant | 552 N Park Ave, Warren, OH 44481-1117 | 2013-11-15 |
| 1699012229 | Lynne Strachan | Physician Assistant | 28800 Ryan Rd Ste 320, Warren, MI 48092-4269 | 2013-01-16 |
| 1447508437 | Bradley L Grincewicz | Physician Assistant | 31700 Van Dyke Ave Ste 100, Warren, MI 48093-7951 | 2012-08-22 |
| 1821319633 | Lilana Lucaj | Physician Assistant | 26000 Hoover Rd Ste 102, Warren, MI 48089-1167 | 2010-06-15 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1275768392 | Meghan Alice Haley | Physician Assistant | 3990 E. 12 Mile Rd., Warren, MI 48092 | 2009-05-19 |
| 1659555621 | Sakina Hakim | Physician Assistant | 28800 Ryan Road, Warren, MI 48092 | 2007-12-26 |
| 1699976464 | Kathleen O'reilly | Physician Assistant | 283 King George Rd, Warren, NJ 07059-5134 | 2007-05-30 |
| Find all providers in WARREN | ||||
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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.