ANGELA MARIE SKYBERG (NPI# 1508917659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508917659 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE SKYBERG |
| Other Name | ANGELA MARIE ANDERSON |
| Credential | PA-C |
| Practice Address |
Bridges Medical Center 201 9th Street W. Ada MN 56510 |
| Practice Telephone | 2187845000 |
| Practice Fax Number | 2187843753 |
| Mailing Telephone | 2187845000 |
| Mailing Fax Number | 2187843753 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9758 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE OF MN PA LICENSE | 9758 | 01 |
| NCCPA - NAT.CERT.COMM.PA | 1055636 | 01 | |
| MN | 144098500 | 05 |
| Street Address |
BRIDGES MEDICAL CENTER 201 9TH STREET W. |
| City | ADA |
| State | MN |
| Zip Code | 56510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598908543 | Amy C. Haen-sawrey | Speech-Language Pathologist | Bridges Medical Center, 201 9th Street West, Ada, MN 56510 | 2009-04-07 |
| 1669523718 | Renae L Miller | Physician Assistant | Bridges Medical Center, 201 9th Street W., Ada, MN 56510 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104915990 | David Carl Solseng | Optometrist | 402 E 3rd St, Suite #1, Ada, MN 56510 | 2006-10-12 |
| 1982612099 | Sandra Lee Martsching | Family Medicine | 201 9th Street West, Bridges Medical Center, Ada, MN 56510 | 2006-08-04 |
| 1326579335 | Bridges Medical Center | Ambulance | 201 9th St W, Ada, MN 56510 | 2017-03-22 |
| 1447310636 | Prairie Dental Centers Pa | Dentist | 200 E Main St, Ada, MN 56510 | 2006-12-11 |
| 1043309651 | Thrifty Drug Stores Inc | Pharmacy | 319 W Main St, Ada, MN 56510 | 2006-10-12 |
| 1336241785 | Kennedy Henry Thomas | Chiropractor | 406 E Main St, Ada, MN 56510 | 2006-09-05 |
| 1336315043 | Peter Paul Foderick | General Practice | 506 4th Ave W, 506 Fourth Ave.w, Ada, MN 56510-1011 | 2008-05-02 |
| 1710074109 | Independent School District #2854 | Local Education Agency (LEA) | 604 W Thorpe Ave, Ada, MN 56510-1027 | 2006-10-06 |
| 1306836598 | Bridges Medical Center | General Acute Care Hospital | 201 9th St W, Ada, MN 56510-1243 | 2005-10-27 |
| 1043470362 | Bridges Care Center | Assisted Living Facility | 201 9th St W, Suite #2, Ada, MN 56510-1243 | 2008-06-10 |
| Find all providers in zip 56510 | ||||
| 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 |
|---|---|---|---|---|
| 1710528898 | Morgan Nicole Nolletti | Physician Assistant | 505 N Gilbert St, Ada, OH 45810-1011 | 2019-09-30 |
| 1386035715 | Kacie Wilkin | Physician Assistant | 905 Colony Dr Bldg, Ada, OK 74820-2297 | 2015-02-06 |
| 1760540413 | Brian Paul Freeland | Physician Assistant | 919 Colony Dr, Ada, OK 74820-2329 | 2006-12-05 |
| 1699869404 | Jami Coleman | Physician Assistant | 807 N Monte Vista St, Women's Health Center, Ada, OK 74820-7711 | 2006-10-03 |
| 1760594378 | Bradford Wayne Maxey | Physician Assistant | 1023 Arlington St, Ada, OK 74820-4042 | 2006-08-31 |
| 1710920178 | Tiffany Kay Wilson | Physician Assistant | 301 N Monte Vista St, Ada, OK 74820-4607 | 2006-06-14 |
| 1619954690 | Sherry Heck | Physician Assistant | 530 N Monte Vista St, Suite A, Ada, OK 74820-4675 | 2005-12-29 |
| 1164408928 | Clint Forrest | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2005-12-22 |
| 1427693787 | Payton Elizabeth Mcadams | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-11-11 |
| 1801369574 | Julia Hope Conneywerdy | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-01-05 |
| Find all providers in ADA | ||||
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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.