MICHAEL PAULUS CRISMAN (NPI# 1164532594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164532594 |
| Entity Type | Individual |
| Full Name | MICHAEL PAULUS CRISMAN |
| Credential | PA-C |
| Practice Address |
502 N Cherry St Valentine NE 69201-1518 |
| Practice Telephone | 4023762200 |
| Practice Fax Number | 4023762219 |
| Mailing Telephone | 4023762200 |
| Mailing Fax Number | 4023762219 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1064 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47083768800 | 05 |
| Street Address |
502 N CHERRY ST |
| City | VALENTINE |
| State | NE |
| Zip Code | 69201-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184734592 | Michele Nicole Mulligan-witt | Family Medicine | 502 N Cherry St, Valentine, NE 69201-1518 | 2006-08-30 |
| 1669936423 | Sarah Fitzpatrick | Physician Assistant | 502 N Cherry St, Valentine, NE 69201-1518 | 2019-01-25 |
| 1518365493 | Claire Elizabeth Carr | Physician Assistant | 502 N Cherry St, Valentine, NE 69201 | 2014-12-09 |
| 1881704229 | Valentine Medical Clinic, LLC | Clinic/Center | 502 N Cherry St, Valentine, NE 69201-1518 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790148856 | Brett Spotted Elk | Non-emergency Medical Transport (VAN) | 212 Brave St, Valentine, NE 69201 | 2016-04-05 |
| 1013370360 | Kimberley Hernandez | Non-emergency Medical Transport (VAN) | 3581 Sicangu Village Dr #19, Valentine, NE 69201 | 2016-04-04 |
| 1528220886 | James S Svoboda | Speech-Language Pathologist | 601 W 4th, Pob 180, Valentine, NE 69201 | 2008-06-27 |
| 1497811830 | Cherry County Drug | Pharmacy | 316 N Main, Valentine, NE 69201 | 2006-12-29 |
| 1982771242 | David John Higgins | Dentist | 308 North Main Street, Valentine, NE 69201 | 2006-11-29 |
| 1114027067 | Janice I Tetherow | Counselor | 442 N Cherry St, Valentine, NE 69201-1516 | 2006-09-22 |
| 1316110802 | Patricia A Petersen | Nurse Anesthetist, Certified Registered | 525 N Main St, Valentine, NE 69201-1527 | 2008-04-07 |
| 1912988817 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 601 W 4th St, Valentine, NE 69201-1564 | 2005-11-08 |
| 1144634445 | Dale Aviation, Inc | Ambulance | 100 South St, Valentine, NE 69201-1606 | 2014-06-13 |
| 1659985331 | Stacy Marie Stec | Registered Nurse | 615 E 5th St, Valentine, NE 69201-1642 | 2020-09-01 |
| Find all providers in zip 69201 | ||||
| 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 |
|---|---|---|---|---|
| 1124122122 | Dorothy L. Duerfeldt | Physician Assistant | 512 North Green St, Valentine, NE 69201-1982 | 2006-09-11 |
| 1255866729 | Cassandra Marie Schill | Physician Assistant | 512 N Green St, Valentine, NE 69201-1932 | 2017-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1851917181 | Connor Evan Bliss | Physician Assistant | 2908 W 39th St Ste D, Kearney, NE 68845-1245 | 2020-06-23 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1659901601 | Jordan Marie Morris | Physician Assistant | 821 Bordeaux St, Chadron, NE 69337-2614 | 2020-01-17 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
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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.