MARICIA JOY PRONK (NPI# 1194122713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194122713 |
Entity Type | Individual |
Full Name | MARICIA JOY PRONK |
Credential | PA-C |
Practice Address |
916 4th Ave Sw Pipestone MN 56164-1890 |
Practice Telephone | 5078255811 |
Mailing Telephone | 5078255811 |
Enumeration Date | 2014-11-25 |
Last Update Date | 2015-10-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 11748 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
916 4TH AVE SW |
City | PIPESTONE |
State | MN |
Zip Code | 56164-1890 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881680205 | Pipestone Count Medical Center and Ashton Care Center | Skilled Nursing Facility | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2005-09-21 |
1124523683 | Kayla Jean Thooft | Pharmacist | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2018-03-27 |
1104329879 | Lorelei Schelhaas | Health Educator | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2018-03-08 |
1811308380 | Dustin Stewart | Family Medicine | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2014-05-18 |
1336460526 | Terry L. Seeman Md | Orthopaedic Surgery | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2010-06-22 |
1245461334 | Fairmont Orthopedics and Sports Medicine, Pa | Specialist | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2009-08-06 |
1720234669 | Pipestone County Med Cntr | General Acute Care Hospital | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2008-08-12 |
1215103239 | Megan Vilhauer | Dietitian, Registered | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2008-04-30 |
1730206236 | Shauna Gansen | Nurse Anesthetist, Certified Registered | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2007-03-22 |
1447300587 | Pipestone County Medical Center | General Acute Care Hospital | 916 4th Ave Sw, Pipestone, MN 56164-1890 | 2007-01-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336408798 | Roberta Marlene Stangeland | Registered Nurse | 609 1/2 2nd St Sw, Pipestone, MN 56164 | 2012-05-04 |
1144399981 | William Howard Olson | Dentist | 101 2nd St Se, Pipestone, MN 56164 | 2006-11-07 |
1174604607 | Cmsp Inc | Pharmacy | 802 8th Ave Se, Pipestone, MN 56164 | 2006-10-18 |
1568565802 | James Horgan | Psychologist | 1016 8th Ave Sw, Pipestone, MN 56164 | 2006-09-05 |
1871696112 | Jarolyn Johnson | Marriage & Family Therapist | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
1609837350 | Michael E Tadlock | Nurse Anesthetist, Certified Registered | 916 4th Ave. Sw, Pipestone, MN 56164 | 2006-03-31 |
1275636540 | Morris Patzlaff | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
1093818379 | Rebecca Wiersma | Social Worker | 1016 8th Avenue Sw, Pipestone, MN 56164 | 2006-09-05 |
1669763611 | Amy Goering Fry | Marriage & Family Therapist | 1016 8th Ave Sw # 85, Pipestone, MN 56164-1018 | 2011-04-26 |
1104399633 | Ashley Whipkey | Social Worker | 1016 8th Ave Sw, Pipestone, MN 56164-1018 | 2019-01-08 |
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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 |
---|---|---|---|---|
1689722027 | Heidi M Thoreson | Physician Assistant | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2007-01-08 |
1841253747 | Cindy A. Sash | Physician Assistant | 920 4th Ave Sw, Pipestone, MN 56164-1455 | 2006-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
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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.