LEE T ACKLEY (NPI# 1902944044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902944044 |
| Entity Type | Individual |
| Full Name | LEE T ACKLEY |
| Credential | RPA-C |
| Practice Address |
39 Farrell Road Willsboro NY 12996 |
| Mailing Address |
P.o. Box 331 Essex NY 12936-0331 |
| Practice Telephone | 5189634275 |
| Practice Fax Number | 5189638862 |
| Mailing Telephone | 5189634275 |
| Mailing Fax Number | 5189638862 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003464-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA LICENSE | MA0519023 | 01 |
| NY | PHYSICIAN ASSISTANT LICEN | 003464-1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933813 | Lee Edward Ackley | Physician Assistant | 4412 Kell Blvd, Wichita Falls, TX 76309-4719 | 2005-12-16 |
| Street Address |
39 FARRELL ROAD |
| City | WILLSBORO |
| State | NY |
| Zip Code | 12996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523554 | Corey Wheet | Acupuncturist | 17 Cedar Lane, Willsboro, NY 12996 | 2020-09-21 |
| 1568827152 | Karen Crowningshield | Registered Nurse | 29 School Ln, Willsboro, NY 12996 | 2015-12-23 |
| 1457668758 | Willsboro Dental, PC | Dentist | 3673 Essex Road, Willsboro, NY 12996 | 2010-09-08 |
| 1659438695 | Willsboro Central School | Local Education Agency (LEA) | 29 School Lane, Willsboro, NY 12996 | 2007-01-02 |
| 1083721260 | Kinney Drugs Inc | Pharmacy | 62 Station Rd, Willsboro, NY 12996 | 2006-08-24 |
| 1720015100 | David George Bonfante | Dentist | 3673 Essex Rd, Suite 2, Willsboro, NY 12996 | 2006-06-28 |
| 1518565605 | Gratitude for Wellness Acupuncture | Acupuncturist | 17 Cedar Lane, Willsboro, NY 12996 | 2020-10-12 |
| 1033247796 | Jennifer Jane Olcott | Pharmacist | 62 Station Rd, Willsboro, NY 12996 | 2007-03-02 |
| 1083083687 | Kathleen Nasner | Registered Nurse | 29 School Lane, Willsboro, NY 12996-0180 | 2015-09-24 |
| 1154692341 | Kari Lynn Scott | Registered Nurse | 29 School Lane, Willsboro, NY 12996-0180 | 2012-01-19 |
| Find all providers in zip 12996 | ||||
| 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 |
|---|---|---|---|---|
| 1245415843 | Brian Callahan | Physician Assistant | 39 Farrell Rd, Willsboro, NY 12996-3904 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.