OWEN PAYNE KUSICK (NPI# 1073064804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073064804 |
| Entity Type | Individual |
| Full Name | OWEN PAYNE KUSICK |
| Practice Address |
16717 49th Pl N Plymouth MN 55446 |
| Practice Telephone | 7635929613 |
| Mailing Telephone | 7635929613 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MN | Student, Health Care |
| Street Address |
16717 49TH PL N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| 1427156249 | Oceanview Management Inc | Dentist | 15910 46th Ave N, Plymouth, MN 55446 | 2006-09-20 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986281 | Courtney Laperriere | Student in an Organized Health Care Education/Training Program | 19 Welton Dr, Plymouth, MA 02360-2367 | 2020-06-09 |
| 1053934588 | Kailey Weichel | Student in an Organized Health Care Education/Training Program | 308 N Columbus Ave, Plymouth, NE 68424 | 2020-05-19 |
| 1568099661 | Nikko Sirdenis | Student in an Organized Health Care Education/Training Program | 9065 Corey Ct, Plymouth, MI 48170-3497 | 2020-03-26 |
| 1437793676 | Kaitlin Mccuskey | Student in an Organized Health Care Education/Training Program | 3050 Rosewood Ln N, Plymouth, MN 55441-2740 | 2019-10-31 |
| 1134760515 | Natalie Ann Ondayko | Student in an Organized Health Care Education/Training Program | 1698 Nantucket Rd, Plymouth, MI 48170-7000 | 2019-10-07 |
| 1407406143 | Peng Lee | Student in an Organized Health Care Education/Training Program | 190 Main St Apt C, Plymouth, NH 03264-1566 | 2019-09-15 |
| 1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
| 1013475540 | Miqdad Tambawala | Student in an Organized Health Care Education/Training Program | 19 Highland Ave Ste 1057, Plymouth, NH 03264-1585 | 2019-03-04 |
| 1710480967 | Jeffrey Beauregard | Student in an Organized Health Care Education/Training Program | 47088 Brooks Ln, Plymouth, MI 48170-3476 | 2018-03-14 |
| 1588164198 | Mackenzie Rae Schuler | Student in an Organized Health Care Education/Training Program | 722 N Walnut St, Plymouth, IN 46563-1550 | 2018-02-20 |
| Find all providers in PLYMOUTH | ||||
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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.