TERRY PESEK (NPI# 1962785329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962785329 |
| Entity Type | Individual |
| Full Name | TERRY PESEK |
| Credential | PA-C |
| Practice Address |
659 Boulevard Dover OH 44622 |
| Mailing Address |
5791 Noel St Louisville OH 44641-9321 |
| Practice Telephone | 3303640894 |
| Mailing Telephone | 3304531897 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2012-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003358 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
659 BOULEVARD |
| City | DOVER |
| State | OH |
| Zip Code | 44622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871606921 | The Union Hospital Association | General Acute Care Hospital | 659 Boulevard, Dover, OH 44622-2026 | 2006-08-15 |
| 1215331921 | Jamie Willmott | Dietitian, Registered | 659 Boulevard, Union Hospital, Dover, OH 44622-2026 | 2014-10-09 |
| 1487715660 | David L Brown | Pathology | 659 Boulevard, Union Hospital Department of Pathology, Dover, OH 44622 | 2006-12-12 |
| 1689732299 | Ellen Klepzig Potts | Emergency Medicine | 659 Boulevard, Union Hospital, Dover, OH 44622 | 2006-12-05 |
| 1386757029 | Eileen Frances Baker | Emergency Medicine | 659 Boulevard, Dover, OH 44622 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| 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 |
|---|---|---|---|---|
| 1922643139 | Kayla Sharese Beauplan | Physician Assistant | 644 S Queen St Ste 106, Dover, DE 19904-3543 | 2019-11-12 |
| 1598313793 | Neil Mast | Physician Assistant | 515 Union Ave Ste 157, Dover, OH 44622-3005 | 2019-08-30 |
| 1699339317 | Diana Kay Fizette | Physician Assistant | 13014 Binnion Dr, Dover, FL 33527-3661 | 2019-04-29 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1508332149 | Kerri Taylor | Physician Assistant | 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 | 2018-10-22 |
| 1841716909 | Tara Kay | Physician Assistant | 1113 S State St Ste 100, Dover, DE 19901-4112 | 2017-08-20 |
| 1356861918 | Brielle Camille Greco | Physician Assistant | 655 S Bay Rd Ste 1, Dover, DE 19901-4615 | 2017-06-26 |
| 1710407671 | Alicia Kelley Wilber | Physician Assistant | 750 Central Ave Ste N, Dover, NH 03820-3434 | 2017-06-22 |
| 1194194035 | Shawn Blackburn | Physician Assistant | 200 Banning St Ste 340, Dover, DE 19904-3490 | 2015-09-22 |
| 1851760094 | Sydney Scott | Physician Assistant | 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 | 2015-09-17 |
| Find all providers in DOVER | ||||
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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.