KOLTEN WENCKUS


Address: 2900 12th Ave N Ste 140w, Billings, MT 59101-7507
Phone: 4062375050

KOLTEN WENCKUS (NPI# 1508496217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508496217
Entity Type Individual
Full Name KOLTEN WENCKUS
Credential PA-C
Practice Address 2900 12th Ave N Ste 140w
Billings
MT 59101-7507
Practice Telephone 4062375050
Mailing Telephone 4062375050
Enumeration Date 2020-01-22
Last Update Date 2020-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT DEA MW5723449 01
MT LICENSE 81226 01

Office Location

Street Address 2900 12TH AVE N STE 140W
City BILLINGS
State MT
Zip Code 59101-7507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790782043 Gwenna Peters Physical Therapist 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2005-07-01
1134727977 Kathryn Schwartz Physician Assistant 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2020-10-14
1609473412 Zachary Molyneaux Physician Assistant 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2020-10-05
1740826668 Jill Kerns Nurse Practitioner 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2019-11-26
1356985014 Tyler C Miller Physician Assistant 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2019-11-05
1144880923 Regan Bold Physical Therapist 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2019-06-14
1487139770 Nicholas G Smith Physician Assistant 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2018-10-02
1760992929 Christopher Hines Physician Assistant 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2017-10-02
1649799297 Libby N Close Physician Assistant 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2017-09-14
1902358955 Monica Hollowell Physician Assistant 2900 12th Ave N Ste 140w, Billings, MT 59101-7507 2016-10-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356950927 Rayola Carol Grant Student in an Organized Health Care Education/Training Program Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 2020-07-29
1225652001 Johnny L Talawyma Jr. Peer Specialist 1230 N. 30th St. Suite 100, Billings, MT 59101 2020-06-08
1306487962 Jeannine L. Walter Technician 26 Peters St, Billings, MT 59101 2019-10-04
1912470089 Deidre Jenae Johnson Student in an Organized Health Care Education/Training Program 1500 University Drive, Rimrock 503, Billings, MT 59101 2019-01-10
1649743964 Annika Stampfel Behavior Technician 780 Broadwater Avenue, Billings, MT 59101 2019-01-09
1215436092 Yellowstone City-county Health Department Clinic/Center 515 N 27th St, Billings, MT 59101 2018-02-07
1902305790 Yellowstone City-county Health Department Clinic/Center 3005 1st Ave S, Billings, MT 59101 2018-02-07
1720587512 Yellowstone City-county Health Department Clinic/Center 120 Jackson Street, Billings, MT 59101 2018-02-07
1508385477 Jkw & Jira Inc. Pharmacy 1245 N 29th St Ste 100, Billings, MT 59101 2017-09-12
1487198610 Rebecca Webber Counselor 251 Rolling Meadow Dr, Billings, MT 59101 2016-12-07
Find all providers in zip 59101

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972019925 Kevin K Davis Jr. Physician Assistant 1101 N 27th St Ste F, Billings, MT 59101-0100 2017-12-28
1154770014 Kristin K. Nelson Baumert Physician Assistant 3737 Grand Ave., Suite 6, Billings, MT 59102-6258 2016-06-10
1508232588 Elliy Phillips Physician Assistant 801 N 29th St Fl 4, Billings, MT 59101-0905 2015-08-13
1366843914 Chad Jason Holgard Physician Assistant 445 Constitution Ave, Billings, MT 59105-1515 2014-09-12
1144528258 Kristine Marie Lippert Physician Assistant 1041 N. 29th Street, Billings, MT 59101 2011-03-14
1720383813 Max D Dangerfield Physician Assistant 2525 4th Ave N, Suite 201, Billings, MT 59101-1312 2011-01-20
1902033442 Amber Dawn Zito Physician Assistant 1020 N 27th St Ste 301, Billings, MT 59101-0756 2009-06-11
1194924621 Matt T Furber Physician Assistant 2900 12th Ave N Ste 265w, Billings, MT 59101-7501 2007-07-14
1356566434 Anne E Burns Physician Assistant 3307 Grand Ave Ste 201, Billings, MT 59102-6551 2007-04-16
1487646949 John L Swanson Physician Assistant 2825 8th Ave N, Billings, MT 59101-0909 2005-08-19
Find all providers in BILLINGS

Competitor

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City BILLINGS
Zip Code 59101

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Dataset Information

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.

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