MARY JANE MCKEE (NPI# 1902808785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902808785 |
| Entity Type | Individual |
| Full Name | MARY JANE MCKEE |
| Credential | P.A.-C |
| Practice Address |
8911 Liberty Mills Rd Fort Wayne IN 46804-6311 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2603739465 |
| Practice Fax Number | 2602669406 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000469A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | 970023100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1417558610 | Mary Martha Mckee | Social Worker | 1900 S Acadian Thruway, Baton Rouge, LA 70808-1665 | 2020-11-04 |
| 1326553488 | Mary Ruth Mckee | Specialist/Technologist | 501 Westminster Ave, Fulton, MO 65251-1230 | 2017-12-11 |
| 1649676636 | Mary Kate Mckee | Physician Assistant | 501 S Santa Fe Ave, Ste 300, Salina, KS 67401-4189 | 2014-11-18 |
| 1558797449 | Mary Elizabeth Mckee | Pharmacist | 2500 N Main St, Gainesville, FL 32609-3006 | 2013-09-24 |
| 1104991488 | Mary Elizabeth Mckee | Registered Nurse | 1725 W 17th St, Pds, Santa Ana, CA 92706-2316 | 2006-11-21 |
| 1497835441 | Mary Christine Mckee | Pediatrics | 1650 Chambers St, Eugene, OR 97402-3636 | 2006-10-16 |
| 1902808918 | Mary S Mckee | Radiology | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2005-08-10 |
| Street Address |
8911 LIBERTY MILLS RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392272 | Paul Hayes Iv | Physician Assistant | 8911 Liberty Mills Rd, Fort Wayne, IN 46804-6311 | 2019-05-24 |
| 1710249875 | Jed C Tompkins | Family Medicine | 8911 Liberty Mills Rd, Fort Wayne, IN 46804-6311 | 2012-06-13 |
| 1932363587 | Adam D Will | Internal Medicine | 8911 Liberty Mills Rd, Fort Wayne, IN 46804-6311 | 2008-07-14 |
| 1487664496 | Brenda S O'hara | Family Medicine | 8911 Liberty Mills Rd, Fort Wayne, IN 46804-6311 | 2006-08-09 |
| 1427083831 | Melissa A Walther | Family Medicine | 8911 Liberty Mills Rd, Fort Wayne, IN 46804-6311 | 2006-07-12 |
| 1174500664 | Priyamvada N Shah | Family Medicine | 8911 Liberty Mills Rd, Fort Wayne, IN 46804-6311 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| 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 |
|---|---|---|---|---|
| 1104438944 | Erin R Griffin | Physician Assistant | 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 | 2020-08-22 |
| 1821608209 | Rebecca Coker | Physician Assistant | 5137 Truemper Way Apt 5, Fort Wayne, IN 46835-3252 | 2020-07-31 |
| 1114536844 | Amanda Kohl | Physician Assistant | 5429 River Run Trl # 5, Fort Wayne, IN 46825-6039 | 2020-07-29 |
| 1538778352 | Kiersten Michelle Coatney | Physician Assistant | 3924 Taylor Rd Apt 65, Fort Wayne, IN 46804-1945 | 2020-07-28 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1972890093 | Megan Bearman | Physician Assistant | 3640 New Vision Dr, Suite A, Fort Wayne, IN 46845-1717 | 2011-07-10 |
| 1114211729 | Joel A Ruetz | Physician Assistant | 7619 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2011-06-01 |
| 1568617256 | Parkview Health System Inc | Physician Assistant | 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1733 | 2008-11-21 |
| 1841441805 | Brooke B Kutka | Physician Assistant | 2512 East Dupont Rd, Suite 200, Fort Wayne, IN 46825-1609 | 2008-10-08 |
| 1265688808 | Kali E Veness | Physician Assistant | 2930 Lake Ave, Fort Wayne, IN 46805-5416 | 2008-08-14 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on MARY JANE MCKEE.
| 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.