MARY ELIZABETH HOWARD (NPI# 1174925655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174925655 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH HOWARD |
| Gender | Female |
| Credential | PA-C |
| Practice Address | 1200 Memorial Dr Dalton GA 30720-2529 |
| Practice Telephone | 7062172207 |
| Mailing Address | 1200 Memorial Dr Dalton GA 30720-2529 |
| Mailing Telephone | 7062172207 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2017-10-31 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417140682 | Mary Elizabeth Howard | 203 Woodline Dr, Somerset, KY 42503-6280 | 2007-08-21 |
| PECOS Associate Control (PAC) ID | 0648592204 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20141210000231 |
| Last Name | WEAVER |
| First Name | MARY |
| Middle Name | ELIZABETH |
| Organization Legal Name | HAMILTON MEDICAL CENTER, INC |
| Location | 1200 Memorial Dr, Dalton, GA 30720-2529 |
| Phone Number | 7062726115 |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446151179 |
| Number of Group Practice Members | 62 |
| Street Address | 1200 MEMORIAL DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982103 | Paul Crutchfield | Specialist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2005-06-14 |
| 1346832052 | Austin Taylor Cooper | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2021-02-04 |
| 1184214124 | Kateleen Whaley Pendergrass | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2021-01-23 |
| 1316533383 | Amanda Bailey | Nurse Practitioner · Acute Care | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-12-14 |
| 1891395505 | Molly Van Wert Cooper | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-30 |
| 1922608116 | William Saunders IIi | Nurse Anesthetist, Certified Registered | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-28 |
| 1114545431 | North Georgia Anesthesia Services PC | Anesthesiology | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-07-13 |
| 1326665100 | Lacey Boutwell | Pharmacist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-06-29 |
| 1265061816 | Kiranjit Singh | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1215566864 | Katelyn Amanda Boykin | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavior Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry · Andrea Nicole Tuttolomondo | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner · Family | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-Mart Stores East Lp · Walmart Pharmacy 10-4528 | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner · Family | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| 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 |
|---|---|---|---|---|
| 1033429709 | Denise Rene White | 1600 Broadrick Drive, Dalton, GA 30720-3012 | 2010-10-15 | |
| 1134177801 | Cara H Bramlett | 508 E Morris St, Dalton, GA 30721-3403 | 2006-05-05 | |
| 1669087615 | Taylor Nicole Efaw | 1114 Professional Blvd, Dalton, GA 30720-2588 | 2020-09-15 | |
| 1306405865 | Chelsea Taylor Mckenzie | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2019-06-10 | |
| 1629530365 | Allison Bond Wilson | 1506 Professional Ct, Dalton, GA 30720-2500 | 2019-04-02 | |
| 1164931622 | Haley Mertz · Haley Cabe | 1107 Memorial Dr Ste 102, Dalton, GA 30720-8662 | 2017-09-27 | |
| 1710347976 | Anna Lee Mulligan | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2016-03-02 | |
| 1649677709 | Kenneth Jeremy Micheff · Jeremy Micheff | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-12-04 | |
| 1679992341 | Jennifer Wright · Jennifer Boyer | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2014-04-10 | |
| 1215366844 | Ashley Miller | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8668 | 2013-11-04 | |
| Find all providers in DALTON | ||||
| City | DALTON |
| Zip Code | 30720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437074 | Ellen Elizabeth Howard · E. Elizabeth Howard | Pediatrics | 4900 Mueller Blvd, Pediatric Residency Office, Austin, TX 78723-3079 | 2009-06-16 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist · Optician | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1215062641 | Mary Ann Howard · Mary Ann Howard | Counselor · Professional | 90 Hospital Dr, Athens, OH 45701-2301 | 2007-02-23 |
| 1619440344 | Iris Elizabeth Howard · Iris Elizabeth Vazquez Howard | Counselor · Mental Health | 3857 Martin Way E, Olympia, WA 98506-5268 | 2019-01-04 |
| 1407982895 | Mary Howard · Susan Howard | Counselor · Mental Health | 5 Bolton Pl, Charlestown, MA 02129-2404 | 2007-02-27 |
| 1962485110 | Mary Elizabeth Talley · Mary Elizabeth Robinson | Nurse Anesthetist, Certified Registered | 50 Union St, Maine Coast Memorial Hospital, Ellsworth, ME 04605-1586 | 2005-11-22 |
| 1154787166 | Mary Elizabeth Kyle · Mary Elizabeth Stiegler | Social Worker · Clinical | 3300 Northern Blvd, 5th Floor, Long Island City, NY 11101-2221 | 2016-01-06 |
| 1164642922 | Mary Elizabeth Weiss · Mary Elizabeth Ruble Twardokus | Counselor | 1720 E Tiffany Dr, Suite 102, West Palm Beach, FL 33407-3235 | 2007-04-26 |
| 1992884258 | Mary Elizabeth Gardner · Mary Elizabeth Michalov | Physical Therapist | 11022 Nicholas Ln, Suite 1, Ocean Pines, MD 21811-3352 | 2006-11-06 |
| 1912389453 | Mary Elizabeth Roelofs · Mary Elizabeth Salzwedel | Student in an Organized Health Care Education/Training Program | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2015-06-21 |
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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.