BRANDACE GOETZ (NPI# 1003474271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003474271 |
| Entity Type | Individual |
| Full Name | BRANDACE GOETZ |
| Credential | PA-C |
| Practice Address |
252 W 9th St Hoisington KS 67544-1725 |
| Mailing Address |
250 W 9th St Hoisington KS 67544-1706 |
| Practice Telephone | 6206532386 |
| Practice Fax Number | 6206534186 |
| Mailing Telephone | 6206535067 |
| Mailing Fax Number | 6206535070 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 S Cedar St, Park, KS 677515102 | 7856736173 |
| Street Address |
252 W 9TH ST |
| City | HOISINGTON |
| State | KS |
| Zip Code | 67544-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378154 | Clifford Frink | Nurse Practitioner | 252 W 9th St, Hoisington, KS 67544-1725 | 2006-05-31 |
| 1689232381 | Jenna Snell | Physician Assistant | 252 W 9th St, Hoisington, KS 67544-1725 | 2019-05-29 |
| 1457702912 | Pamela Marie Middleton | Social Worker | 252 W 9th St, Hoisington, KS 67544-1725 | 2016-06-27 |
| 1174896716 | Ashley M Durham | Pharmacist | 252 W 9th St, Hoisington, KS 67544-1725 | 2012-02-13 |
| 1538392691 | Phillip D. Barnes | Physician Assistant | 252 W 9th St, Hoisington, KS 67544-1725 | 2009-08-24 |
| 1316109929 | The Clara Barton Hospital Association Inc Hoisington Kansas | Family Medicine | 252 W 9th St, Hoisington, Hoisington, KS 67544-1725 | 2008-06-26 |
| 1376586578 | The Clara Barton Hospital Association Inc Hoisington Kansas | Clinic/Center | 252 W 9th St, Hoisington, KS 67544-1725 | 2006-06-14 |
| 1023050952 | Nathaniel Knackstedt | Internal Medicine | 252 W 9th St, Hoisington, KS 67544-1725 | 2006-06-12 |
| 1699712463 | Linda Krug | Physician Assistant | 252 W 9th St, Hoisington, KS 67544-1725 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063507952 | Blake E. Herres IIi | Dentist | 568 W. 7th, Hoisington, KS 67544 | 2006-10-04 |
| 1962593087 | Harold Keith Ritter | Dentist | 165 West Seventh, Hoisington, KS 67544 | 2006-09-27 |
| 1316047715 | Debra Brockel | Physician Assistant | 252 W 9th Streeet, Hoisington, KS 67544 | 2006-09-25 |
| 1164494381 | Robert Michael Sheppard | Nurse Anesthetist, Certified Registered | 250 West 9th, Hoisington, KS 67544 | 2006-02-02 |
| 1598736464 | R M Sheppard Inc | Nurse Anesthetist, Certified Registered | 250 W 9th, Hoisington, KS 67544 | 2006-01-30 |
| 1932328705 | City of Hoisington Ambulance Service | Ambulance | 202 East Broadway, Hoisington, KS 67544-0418 | 2007-04-24 |
| 1184690554 | Cheyenne Drug Inc | Pharmacy | 110 N Main, Hoisington, KS 67544-0446 | 2006-02-27 |
| 1609994359 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 1410 N Vine St, Hoisington, KS 67544-1557 | 2007-03-27 |
| 1225120249 | Jewel Healthcare, LLC | Skilled Nursing Facility | 272 W Cheyenne St, Hoisington, KS 67544-1576 | 2006-09-28 |
| 1619185345 | Jewell Health Care, LLC | Skilled Nursing Facility | 272 W Cheyenne St, Hoisington, KS 67544-1576 | 2007-05-18 |
| Find all providers in zip 67544 | ||||
| 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 |
|---|---|---|---|---|
| 1316047715 | Debra Brockel | Physician Assistant | 252 W 9th Streeet, Hoisington, KS 67544 | 2006-09-25 |
| 1689232381 | Jenna Snell | Physician Assistant | 252 W 9th St, Hoisington, KS 67544-1725 | 2019-05-29 |
| 1538392691 | Phillip D. Barnes | Physician Assistant | 252 W 9th St, Hoisington, KS 67544-1725 | 2009-08-24 |
| 1699712463 | Linda Krug | Physician Assistant | 252 W 9th St, Hoisington, KS 67544-1725 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567783 | Shelby Stewart | Physician Assistant | 1409 Washington Cir, Hays, KS 67601-4716 | 2020-10-27 |
| 1154935724 | Kendra Elizabeth Rogers | Physician Assistant | 8111 Quivira Rd Apt 12106, Lenexa, KS 66215-2772 | 2020-09-01 |
| 1962020024 | Cody Allen Miller | Physician Assistant | 7201 W 80th St Apt 602, Overland Park, KS 66204-3773 | 2020-07-06 |
| 1881210417 | Jordan Rachelle Haya | Physician Assistant | 607 Prairie Ave, Maple Hill, KS 66507-9808 | 2020-06-19 |
| 1881219483 | Sheila Mwadime | Physician Assistant | 10245 Millstone Dr Apt 7110, Lenexa, KS 66220-2711 | 2020-06-10 |
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1194348706 | Andrew John Lopata | Physician Assistant | 1315 N Walnut St, Mcpherson, KS 67460-2434 | 2020-05-19 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1033731674 | Sydnee Rose Eck | Physician Assistant | 345 Sevy, Andale, KS 67001-4003 | 2020-05-16 |
| Find all providers with the same taxonomy | ||||
| City | HOISINGTON |
| Zip Code | 67544 |
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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.