KALEY ALISON WEBER (NPI# 1912485947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912485947 |
| Entity Type | Individual |
| Full Name | KALEY ALISON WEBER |
| Credential | PA |
| Practice Address |
5050 N Clinton St Fort Wayne IN 46825-5886 |
| Mailing Address |
5052 N Clinton St Fort Wayne IN 46825-5822 |
| Practice Telephone | 2604848551 |
| Practice Fax Number | 2604825060 |
| Mailing Telephone | 2604848551 |
| Mailing Fax Number | 2604825060 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002569A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300018998 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11050 Parkview Circle Dr, Fort Wayne, IN 468451739 | 8337248326 | 2602667615 |
| 11136 Parkview Circle Dr, Fort Wayne, IN 468451730 | 2604848551 | 2604825060 |
| 1500 Provident Dr Ste B, Warsaw, IN 465803297 | 5742698301 | 5742698302 |
| 7920 W Jefferson Blvd, Fort Wayne, IN 468044168 | 2604848551 | 2604825060 |
| 7920 W Jefferson Blvd Ste 100, Fort Wayne, IN 468044166 | 2604848551 | 2604825060 |
| Street Address |
5050 N CLINTON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228529 | Scott Davis | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2005-07-11 |
| 1477179737 | Mirsad Maglajlic | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-23 |
| 1053937961 | Kay Elizabeth Brown | Registered Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-17 |
| 1831714716 | Raelene Marie Lamott | Licensed Practical Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-16 |
| 1982184701 | Angela R Kesler | Physical Therapist | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-08-21 |
| 1275019341 | Cayla Marie Vorndran | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-07-12 |
| 1629560370 | Aaron Michael Lewis | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-05-30 |
| 1144724402 | Surgery One Anesthesia, LLC | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-21 |
| 1235631557 | Samuel Vincent Dismuke | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-02 |
| 1881100758 | Brittany Hallis | Specialist/Technologist | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2017-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| 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 | 46825 |
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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.