COLT ALLEN CANSLER (NPI# 1043622525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043622525 |
| Entity Type | Individual |
| Full Name | COLT ALLEN CANSLER |
| Credential | PA-C |
| Practice Address |
1130 N Baldwin Ave Marion IN 46952-2536 |
| Mailing Address |
330 N Wabash Ave Ste G-20 Marion IN 46952-2605 |
| Practice Telephone | 7656607480 |
| Practice Fax Number | 7653824495 |
| Mailing Telephone | 7656607616 |
| Mailing Fax Number | 7656517313 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 99062293A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300016910 | 05 | |
| IN | ANTHEM | 000001216651 | 01 |
| Street Address |
1130 N BALDWIN AVE |
| City | MARION |
| State | IN |
| Zip Code | 46952-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093820896 | Carole Wilson | Nurse Practitioner | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2006-08-20 |
| 1831430404 | Medexpress Urgent Care PC - Indiana | Emergency Medicine | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2013-03-07 |
| 1679864599 | Stephen Keller | Emergency Medicine | 1130 N Baldwin Ave, Marion, IN 46952-2536 | 2011-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1063069755 | Andrea Marie Brown | Behavior Technician | 2315 W 2nd St, Marion, IN 46952 | 2019-08-19 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1326545609 | Eumalla Lampkins | Case Manager/Care Coordinator | 315 South Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| 1285011650 | Forefront Dermatology, S.c. | Dermatology | 330 N Wabash Ave Ste 360, Marion, IN 46952 | 2015-05-05 |
| 1649510959 | Cancer Services of Grant County Inc. | Prosthetic/Orthotic Supplier | 305 S. Norton Ave., Marion, IN 46952 | 2013-02-22 |
| 1326350844 | Beth Ellen Krouse | Speech-Language Pathologist | 1800 Wabash Ave, Suite 200, Marion, IN 46952 | 2010-07-13 |
| 1093032138 | Thomas Alfred Beck | General Practice | 919 Euclid Avenue, Marion, IN 46952 | 2010-04-29 |
| Find all providers in zip 46952 | ||||
| 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 |
|---|---|---|---|---|
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1891316212 | Amanda Roye | Physician Assistant | 1812 Colonial Dr, Marion, IL 62959-6459 | 2020-04-27 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1982152401 | Katryna Horton | Physician Assistant | 115 Allen Cv, Marion, AR 72364-8001 | 2016-09-13 |
| 1942592324 | Jennifer Nicole Smith | Physician Assistant | 5623 Us 221 S, Marion, NC 28752-7028 | 2011-05-04 |
| 1174832893 | Amanda Rae Reaney | Physician Assistant | 3204 Cherokee Dr, Marion, IL 62959-5255 | 2010-09-29 |
| 1528186947 | Sandra Grazulewicz | Physician Assistant | 130 Finley Gayle Dr, Marion, VA 24354-3141 | 2007-03-26 |
| 1346377199 | Steven Lee Martinez | Physician Assistant | 3003 Civic Circle Blvd Ste 200, Marion, IL 62959-5259 | 2007-02-28 |
| 1033250576 | Nicole A Johnson | Physician Assistant | 8305 Express Drive, Suite C, Marion, IL 62959 | 2007-02-09 |
| 1235215633 | Jennifer L Alexander | Physician Assistant | 3106 Outer Drive, Marion, IL 62959 | 2006-10-27 |
| Find all providers in MARION | ||||
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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.