PAUL PFENNIG (NPI# 1043503113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043503113 |
| Entity Type | Individual |
| Full Name | PAUL PFENNIG |
| Credential | ACNS-BC, FNP-BC, ANP |
| Practice Address |
309 S Central Ave Sidney MT 59270-4127 |
| Practice Telephone | 4064885000 |
| Mailing Telephone | 4064885000 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2017-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NUR-RN-LIC-77188 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1671 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R28464 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
020144 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R28464 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
NUR-RN-LIC | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R28464 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
309 S CENTRAL AVE |
| City | SIDNEY |
| State | MT |
| Zip Code | 59270-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144683475 | Central Medispa LLC | Nurse Practitioner | 309 S Central Ave, Sidney, MT 59270-4127 | 2016-04-04 |
| 1902208127 | Esprit Health and Wellness, LLC | Nurse Practitioner | 309 S Central Ave, Sidney, MT 59270-4127 | 2014-09-18 |
| 1912312588 | Michelle Lynn Frank | Nurse Practitioner | 309 S Central Ave, Sidney, MT 59270-4127 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104042316 | Eagle Life Chiropractic PC | Chiropractor | 12019 Hwy 16, Sidney, MT 59270 | 2007-04-17 |
| 1790831444 | County of Richland | Public Health or Welfare | 1201 West Holly St., Suite #1, Sidney, MT 59270 | 2007-01-26 |
| 1407929524 | Rajohn Karanjai | Internal Medicine | 214 14th Ave Sw Ste 110, Sidney, MT 59270 | 2006-11-16 |
| 1740326859 | Orin Pete Council | Family Medicine | 214 14th Ave Sw, Suite 104, Sidney, MT 59270 | 2007-01-29 |
| 1972681831 | Edward Lewis Pierce | Internal Medicine | 214 14th Ave Sw, Suite 112, Sidney, MT 59270 | 2006-11-01 |
| 1902980907 | Edward Patrick Bergin | Surgery | 214 14th Ave Sw, Suite 105, Sidney, MT 59270 | 2006-10-25 |
| 1275616104 | Brett Russell Bennion | Ophthalmology | 214 14th Ave Sw, Suite 101, Sidney, MT 59270 | 2006-10-23 |
| 1770540254 | Jennifer Adams | Radiology | 216 14th Ave Sw, Sidney, MT 59270 | 2006-04-27 |
| 1497743959 | Sidney Health Center | Durable Medical Equipment & Medical Supplies | 214 14th Ave Sw, Sidney, MT 59270 | 2005-10-10 |
| 1760940027 | Sarah Ann Perrault | Counselor | 1405 4th St Sw Ste 2, Sidney, MT 59270-3515 | 2019-03-06 |
| Find all providers in zip 59270 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868961 | Lisa A Monroe | Nurse Practitioner | 823 Michigan St Bldg A, Sidney, OH 45365-2685 | 2019-09-04 |
| 1144785098 | Fc Ohio, LLC | Nurse Practitioner | 2006 Michigan St, Sidney, OH 45365-9069 | 2019-02-05 |
| 1700370509 | Sydney Michelle Snyder | Nurse Practitioner | 915 Michigan St Ste 100, Sidney, OH 45365-2401 | 2018-06-15 |
| 1598838666 | Patti Iversen | Nurse Practitioner | 214 14th Ave Sw Ste 114, Sidney, MT 59270-3521 | 2006-11-16 |
| 1528690641 | Lyndsey North | Nurse Practitioner | 915 Michigan St, Sidney, OH 45365-2401 | 2020-02-06 |
| 1346888161 | Krista Jean Frank | Nurse Practitioner | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2019-12-11 |
| 1588219109 | Meaghan Leigh Provost | Nurse Practitioner | 44 Pearl St W, Sidney, NY 13838-1325 | 2019-08-09 |
| 1467946780 | Tammie I Kelton | Nurse Practitioner | 915 Michigan St, Sidney, OH 45365-2401 | 2018-06-20 |
| 1538614730 | Elizabeth Rosa | Nurse Practitioner | 59 River St, Sidney, NY 13838-1035 | 2016-08-18 |
| 1295188233 | Megan Greve | Nurse Practitioner | 915 Michigan St, Suite 100, Sidney, OH 45365-2401 | 2016-07-14 |
| Find all providers in SIDNEY | ||||
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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.