Isata Kallon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C04884 Issued in MD

Practice address

9141 Alaking CT
Ste. 112
Capitol Heights, MD 20743-5043

Phone

(301) 499-4655

NPI assigned

Sep 28, 2012

Last updated

Sep 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1780868547

  VA

  Medicare reassignment NPD
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1003090879

  DC

  Medicare reassignment
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1235313156

  MD

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1700137866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 ALAKING CT",
            "address_2": "STE. 112",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435043",
            "telephone_number": "301-499-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 ALAKING CT",
            "address_2": "STE. 112",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435043",
            "telephone_number": "301-499-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLON",
        "first_name": "ISATA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Johnson
• Esther W Jones, RN, IBCLC
• David Lawrence Jordan, HHA
• Tonia Marilu Joseph-Armstrong, COTA/L
• Jus Faith Transportation LLC
• Kadiatu Kargbo
• Kaymon Physical Therapy and Associates
• Virginia Yvonne Kellogg, LCSW
• Brandon Kerr, LCSW-C
• Taje Darnell Kirksey

• Physician Assistant in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.