KATHLEEN SARAH DERR


Address: 30 E Apple St Ste 5254, Dayton, OH 45409-2939
Phone: 9372084200

KATHLEEN SARAH DERR (NPI# 1912538562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912538562
Entity Type Individual
Full Name KATHLEEN SARAH DERR
Other Name KATHLEEN SARAH HITT
Credential PA-C
Practice Address 30 E Apple St Ste 5254
Dayton
OH 45409-2939
Mailing Address 3170 Kettering Blvd Bldg B3
Moraine
OH 45439-1924
Practice Telephone 9372084200
Practice Fax Number 9372082678
Mailing Telephone 9379913188
Mailing Fax Number 9372239811
Enumeration Date 2020-02-03
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 50.006351RX OH Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHLEEN DERR

NPI Name Taxonomy Address Enumeration
1124270806 Kathleen Ann Derr Pharmacist 5800 Yellowstone Rd, Cheyenne, WY 82009-4131 2008-10-14
1760568711 Kathleen A Derr Registered Nurse 6040 Public Landing Road, Worcester County Health Department, Snow Hill, MD 21863 2006-10-31

Office Location

Street Address 30 E APPLE ST STE 5254
City DAYTON
State OH
Zip Code 45409-2939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245537935 Amanda Katherine Ward Registered Nurse 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2011-02-16
1790347797 Denise Renee Stewart Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-07-01
1831753227 Arun Balagopal Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-05-01
1518420629 Jennifer Ballou Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409 2019-04-08
1679030399 Rachael L Baarstad Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-02-28
1558828962 Zakiya Walker Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-02-22
1972076735 Robin Michelle Gardner Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2019-01-04
1124599451 Sarah Ellsworth Dudley Physician Assistant 30 E Apple St Ste 5254, Dayton, OH 45409 2018-12-16
1699254417 Abigail Chayadi Sprockel Physician Assistant 30 E Apple St Ste 5254, Dayton, OH 45409-2939 2018-08-13
1710433909 Amy Ross Nurse Practitioner 30 E Apple St Ste 5254, Dayton, OH 45409 2016-08-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1699237545 Elizabeth Joan Hudson Student in an Organized Health Care Education/Training Program 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 2019-04-01
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1477057529 Adam Joseph Langer Student in an Organized Health Care Education/Training Program 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 2018-03-22
1659870939 Timothy Wall Student in an Organized Health Care Education/Training Program 128 East Apple St., 2nd Floor, Dayton, OH 45409 2018-02-01
1124551411 Adam Schmerge Deardorff Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 6257, Dayton, OH 45409 2017-04-04
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1689054223 Jessica Ezinne Ugwu Family Medicine 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 2015-06-08
1679983084 Jude Anneryan Cohen Registered Nurse 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 2014-05-07
1730517087 Jesse Wayne Clark Counselor 65 Grady Ct, Dayton, OH 45409 2013-10-24
Find all providers in zip 45409

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861091241 Beau Webb Physician Assistant 6017 Cruxten Dr, Dayton, OH 45424-3702 2020-10-18
1043838782 Marie Therese Mualla Oram Physician Assistant 204 Sears St Apt 518, Dayton, OH 45402-1573 2020-07-09
1720542509 Herodina Ibanez Lu Physician Assistant 1 Elizabeth Pl Nwb Ste 15, Dayton, OH 45417-3445 2019-01-25
1427585819 Mita Morar Physician Assistant 938 Olde Sterling Way, Dayton, OH 45459-3100 2017-05-16
1306394275 Danielle Elizabeth Tirjer Cleary Physician Assistant 320 Judith Dr, Dayton, OH 45429-5306 2016-09-20
1831555234 Lisa Byers Physician Assistant 7980 N Main St, Dayton, OH 45415-2328 2016-01-14
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1104201730 Dominique Hunt Physician Assistant 5300 Far Hills Ave Ste 300, Dayton, OH 45429-2381 2015-07-24
1285025957 Holly Griffin Physician Assistant 4340 Clyo Rd, Dayton, OH 45459-7000 2015-02-16
1073885216 Shawn Breeding Physician Assistant 627 Edwin C. Moses Blvd, Suite K, Dayton, OH 45417-3474 2012-02-03
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45409

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Dataset Information

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.

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