GLORIA D WALZ (NPI# 1326028937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326028937 |
| Entity Type | Individual |
| Full Name | GLORIA D WALZ |
| Credential | CNP |
| Practice Address |
1041 Montgomery Street Custer SD 57730-1304 |
| Mailing Address |
353 Fairmont Blvd Atten Mss Rapid City SD 57701-7375 |
| Practice Telephone | 6056734150 |
| Practice Fax Number | 6056733917 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0270 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD PTAN | 970015058 | 01 |
| Street Address |
1041 MONTGOMERY STREET |
| City | CUSTER |
| State | SD |
| Zip Code | 57730-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073794269 | Amanda Lee Taglioli | Physician Assistant | 1041 Montgomery Street, Custer, SD 57730-1304 | 2007-11-16 |
| 1912014499 | Joleen E Falkenburg | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-08-23 |
| 1063465995 | Terry M Graber | Family Medicine | 1041 Montgomery Street, Custer, SD 57730-1304 | 2006-05-19 |
| 1295789873 | Joy M Falkenburg | Family Medicine | 1041 Montgomery Street, Custer, SD 57730-1304 | 2006-05-19 |
| 1831161413 | Lisa B Brown | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801275326 | Heidi Sahling | Counselor | 124 6th Street, Custer, SD 57730 | 2015-05-29 |
| 1275623134 | Custer Ambulance Service Inc | Ambulance | 30 S 3rd St, Custer, SD 57730 | 2006-10-13 |
| 1801984026 | Josephine A. Chase | Social Worker | 29 N 6th St., Custer, SD 57730 | 2006-10-11 |
| 1750473070 | Horse Nation Healing, Inc. | Social Worker | 37 N 5th St., Custer, SD 57730 | 2006-09-28 |
| 1760483713 | Regional Health Network Inc | Assisted Living Facility | 423 N 10 St, Custer, SD 57730 | 2005-08-02 |
| 1578019436 | Carey Daunt | Physical Therapist | 1041 Montgomery St, Custer Regional Hospital, Custer, SD 57730 | 2016-08-31 |
| 1972985224 | Christopher James Wenger | Family Medicine | 1220 Montgomery St, Custer, SD 57730 | 2015-06-23 |
| 1689760399 | Sandra Lee Conard | Chiropractor | 246 N 5th St, Custer, SD 57730 | 2006-10-04 |
| 1255854998 | Kelli Bolton | Specialist/Technologist | 527 Montgomery St, Custer, SD 57730-1124 | 2017-07-25 |
| 1619082807 | Nancy Suelflow | Speech-Language Pathologist | 409 Young Dr, Custer, SD 57730-1200 | 2006-08-20 |
| Find all providers in zip 57730 | ||||
| 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 |
|---|---|---|---|---|
| 1386774925 | Noel Choquette | Physician Assistant | 2950 Jennifer Ln, Custer, WA 98240-9206 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627898 | Mikaela Theobald | Physician Assistant | 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 | 2020-10-22 |
| 1497368153 | Emily Christine Fedders | Physician Assistant | 512 Broadway St, Centerville, SD 57014-2225 | 2020-08-24 |
| 1467064097 | Kara Rae Koth | Physician Assistant | 4913 E 42nd St, Sioux Falls, SD 57110-4409 | 2020-08-17 |
| 1104448851 | Alexandra L Bachman-williams | Physician Assistant | 24337 Us Highway 212, Eagle Butte, SD 57625-7770 | 2020-05-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1114551447 | Eugenie Coleman | Physician Assistant | 2510 Arrow St, Rapid City, SD 57702-4306 | 2020-02-25 |
| 1235780883 | Alyssa Jo Bump | Physician Assistant | 202 Island Dr Ste 1, Fort Pierre, SD 57532-7303 | 2019-09-25 |
| 1326608910 | Ashley Pommer | Physician Assistant | 8232 W 51st St, Sioux Falls, SD 57106-7861 | 2019-06-17 |
| 1801307202 | Patrick David Jones | Physician Assistant | 28th Mdg/sggp, 2900 Doolittle Dr., Ellsworth Afb, SD 57706 | 2017-10-12 |
| 1316465925 | Timothy Brian Olsen | Physician Assistant | 621 Ridge Road, Lead, SD 57754 | 2017-09-03 |
| 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.