FRANK MICUCCI (NPI# 1083628721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083628721 |
Entity Type | Individual |
Full Name | FRANK MICUCCI |
Credential | MPA-C |
Practice Address |
624 S Roosevelt Ave Suite 101 Burlington IA 52601-1668 |
Practice Telephone | 3197684320 |
Mailing Telephone | 3197684320 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2016-02-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | RH MEDICARE | 168951 | 01 |
IA | MIDLANDS | 4554 | 01 |
IA | RR MEDICARE | 970014324 | 01 |
IA | WELLMARK BLUE CROSS BLUE | 17518 | 01 |
Street Address |
624 S ROOSEVELT AVE SUITE 101 |
City | BURLINGTON |
State | IA |
Zip Code | 52601-1668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346290996 | Heritage Medical Equipment and Supplies Inc | Prosthetic/Orthotic Supplier | 624 S Roosevelt Ave, Burlington, IA 52601 | 2006-05-12 |
1689791972 | Heritage Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 624 S Roosevelt Ave, Burlington, IA 52601 | 2007-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
Find all providers in zip 52601 |
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 |
---|---|---|---|---|
1598399743 | Samantha Pandick Vaillancourt | Physician Assistant | 1236 Huffman Mill Rd Ste 100, Burlington, NC 27215-8700 | 2020-02-26 |
1770116576 | Mh Medical Services, PC | Physician Assistant | 1737 Whites Kennel Rd, Burlington, NC 27215-8977 | 2020-02-20 |
1578113908 | Avani Shah | Physician Assistant | 41 Burlington Mall Road 7 West Neurology Dept, Burlington, MA 01805-2015 | 2019-09-17 |
1174087548 | Lindsay Elaine Damaso | Physician Assistant | 6 Frothingham Rd, Burlington, MA 01803-4002 | 2019-01-30 |
1902375744 | San Michael Kyte | Physician Assistant | 104 Huffman Mill Rd Ste 100, Burlington, NC 27215-5113 | 2018-11-22 |
1871010074 | Adriana M Pollak | Physician Assistant | 1041 Kirkpatrick Rd Ste 200, Burlington, NC 27215-8066 | 2017-08-28 |
1679920581 | Jenna Bruno | Physician Assistant | 8 Pontos Ave, Burlington, MA 01803-2127 | 2016-05-20 |
1770963332 | Christopher Walden | Physician Assistant | 2016 Wall Ave, Burlington, NJ 08016-3616 | 2015-06-08 |
1447655568 | Bushra Khan | Physician Assistant | 1174 Kaye Ct, Burlington, NJ 08016-2266 | 2014-10-31 |
1831527191 | Autumn Kari Konz | Physician Assistant | 1234 Huffman Hill Road, Burlington, NC 27215-8700 | 2013-10-24 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 52601 |
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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.