MICAH WIESNER (NPI# 1326493073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326493073 |
| Entity Type | Individual |
| Full Name | MICAH WIESNER |
| Credential | PA |
| Practice Address |
712a Saint John St Garden City KS 67846-5128 |
| Mailing Address |
712 Saint John St Garden City KS 67846-5128 |
| Practice Telephone | 6202751766 |
| Practice Fax Number | 6202754729 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
712A SAINT JOHN ST |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174228 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Non-Pharmacy Dispensing Site | 712a Saint John St, Garden City, KS 67846-5128 | 2005-09-12 |
| 1104072487 | United Methodist Western Kansas Mexican American Ministries, Inc. | Family Medicine | 712a Saint John St, Garden City, KS 67846-5128 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| 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 |
|---|---|---|---|---|
| 1619431061 | William T. Meringolo | Physician Assistant | 115 Kingsbury Rd, Garden City, NY 11530-3197 | 2019-01-29 |
| 1295283851 | Eric Andrew Hubbard | Physician Assistant | 372 Roxbury Rd S, Garden City, NY 11530-5230 | 2016-09-13 |
| 1689066920 | Esther Disilvestre | Physician Assistant | 200 Garden City Plz Ste 100, Garden City, NY 11530-3337 | 2015-02-24 |
| 1790128270 | Jacqueline Ragudos | Physician Assistant | 1300 Franklin Ave Ste Ul3a, Garden City, NY 11530-1885 | 2013-04-15 |
| 1952643645 | Leslye K Wolf | Physician Assistant | 31690 Chester, Garden City, MI 48152 | 2013-03-21 |
| 1922232321 | Thomas Lemme | Physician Assistant | 337 Yale Rd, Garden City, NY 11530-5223 | 2009-05-13 |
| 1326291428 | Rania Beydoun | Physician Assistant | 30108 Ford Rd, Garden City, MI 48135-2370 | 2008-11-03 |
| 1487844239 | Kristen J Fitzpatrick | Physician Assistant | 32669 Warren Rd, Garden City, MI 48135-1677 | 2007-07-27 |
| 1679697767 | Gretchen Dowdy | Physician Assistant | 919 W Zerr Rd, Garden City, KS 67846-2777 | 2007-03-16 |
| 1053377283 | John Carle Miller | Physician Assistant | 2347 Hwy 17 Business South, Garden City, SC 29576-7611 | 2006-04-25 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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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.