WILLIAM J KUCERA (NPI# 1154727873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154727873 |
| Entity Type | Individual |
| Full Name | WILLIAM J KUCERA |
| Practice Address |
324 Marietta Dr Bismarck ND 58504 |
| Mailing Address |
324 Marietta Dr Bismarck ND 58504-7328 |
| Practice Telephone | 7012263698 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1565 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | 735 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
735 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
324 MARIETTA DR |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1528557006 | Mees Physical Therapy LLC | Physical Therapist | 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 | 2018-05-09 |
| 1437666856 | Katy Thomas | Social Worker | 3315 University Drive, Bismasrck, ND 58504 | 2018-01-08 |
| 1407396864 | Allison Bitz | Social Worker | 600 S. Second St., Suite 220, Bismarck, ND 58504 | 2017-03-06 |
| 1306397831 | Evan Morehead | Specialist/Technologist | 5160 Lincoln Road, Lincoln, ND 58504 | 2016-10-19 |
| 1902262520 | Stacey S Haugen, Pllc | Counselor | 6221 University Drive, Bismarck, ND 58504 | 2016-01-12 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1609283027 | Michael Iken | Counselor | 3315 Unviversity Dr, Bismarck, ND 58504 | 2014-07-17 |
| Find all providers in zip 58504 | ||||
| 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 |
|---|---|---|---|---|
| 1831430644 | Danielle Rae Anderson | Physician Assistant | 401 N 9th St # T, Bismarck, ND 58501-4530 | 2013-03-05 |
| 1306123435 | Jamelle Lelito | Physician Assistant | 310 N 9th St Ste 1, Bismarck, ND 58501-4515 | 2011-11-03 |
| 1003038811 | Burton J Mollman | Physician Assistant | 4401 Coleman St Ste 107, Bismarck, ND 58503-1371 | 2007-05-02 |
| 1912925876 | Lori Klabunde | Physician Assistant | 202 E Greenfield Ln Ste 100, Bismarck, ND 58503-6597 | 2006-07-18 |
| 1699704726 | Phyllis Abrahamson | Physician Assistant | 201 N 24th St, Bismarck, ND 58501-4996 | 2006-07-01 |
| 1043255755 | Tracy L Vearrier | Physician Assistant | 2520 N 7th St, Bismarck, ND 58503-1164 | 2006-06-17 |
| 1962486969 | Stacey Lee Konzak | Physician Assistant | 2900 E Broadway Ave, Bismarck, ND 58501-5112 | 2005-12-02 |
| 1538769633 | Brenton Michael Green | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-10-28 |
| 1346847670 | Hannah Rachel Small | Physician Assistant | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-10-09 |
| 1164030169 | Heather Brooke Flaa | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-16 |
| Find all providers in BISMARCK | ||||
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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.