DAVID MYNTTI (NPI# 1518117167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518117167 |
| Entity Type | Individual |
| Full Name | DAVID MYNTTI |
| Credential | PA-C |
| Practice Address |
1059 N 100 W Beaver UT 84713-1690 |
| Mailing Address |
Po Box 1690 Beaver UT 84713-1690 |
| Practice Telephone | 4354387280 |
| Practice Fax Number | 4354387210 |
| Mailing Telephone | 4354387280 |
| Mailing Fax Number | 4354387210 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2012-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4935321-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE NUMBER | 4935321-1206 | 01 |
| Street Address |
1059 N 100 W |
| City | BEAVER |
| State | UT |
| Zip Code | 84713-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295938 | Kenneth Lynn Hussey | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2005-06-16 |
| 1740750561 | Joan Yardley | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-7758 | 2018-12-05 |
| 1811399116 | Reagan Fails | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2014-09-18 |
| 1568800209 | Rhett R Smith | Family Medicine | 1059 N 100 W, Beaver, UT 84713-1690 | 2013-06-04 |
| 1952605370 | Travis Hicks | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2010-12-28 |
| 1972747269 | Lindsay Ann Cheney | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2009-04-30 |
| 1083755342 | Rebecca S Rasmusson | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2007-02-09 |
| 1295817708 | Lance Clyde Smith | Family Medicine | 1059 N 100 W, Beaver, UT 84713-1690 | 2006-10-20 |
| 1962438895 | Wade Hollingshead | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2006-06-23 |
| 1770570202 | Beaver Medical, LLC | Clinic/Center | 1059 N 100 W, Beaver, UT 84713-1690 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780086983 | E. Jones Legacy Care Homes | Assisted Living Facility | 380 N 500 W, Beaver, UT 84713 | 2014-09-18 |
| 1679823876 | H2rx | Pharmacy | 98 N Main Street #b, Beaver, UT 84713 | 2012-09-14 |
| 1699042176 | Shari Lyn Gillins | Case Manager/Care Coordinator | 75 West 1175 North, Beaver, UT 84713 | 2011-11-28 |
| 1558563650 | Doris Gale Cowan | Registered Nurse | 590 North 100 East, Beaver, UT 84713 | 2007-06-01 |
| 1942420229 | David S Howard | Dentist | 225 N Main, Beaver, UT 84713 | 2007-04-27 |
| 1487772315 | Delmont G. Myers | Dentist | 885 No, 50 E., Beaver, UT 84713 | 2007-03-27 |
| 1700928785 | Kathleen Hanley Rose | Social Worker | 75 W 1175 N, Beaver, UT 84713 | 2007-02-13 |
| 1679646319 | Gary W. Clark A Professional Corporation | Durable Medical Equipment & Medical Supplies | 55 N 400 E, Beaver, UT 84713 | 2006-11-17 |
| 1477666295 | Harold D Murdock | Dentist | 55 No 400 E, Beaver, UT 84713 | 2006-08-16 |
| 1114194909 | Kandance Muir | Case Manager/Care Coordinator | 75 W 1175 N, Beaver, UT 84713 | 2008-05-12 |
| Find all providers in zip 84713 | ||||
| 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 |
|---|---|---|---|---|
| 1194702407 | Martha L Frey | Physician Assistant | 701 5th St, Beaver, PA 15009-1964 | 2005-12-28 |
| 1659364735 | James E Beaver Jr. | Physician Assistant | 134 Medical Pl, Beaver, WV 25813-8977 | 2005-08-24 |
| 1720643158 | Rachel Allison Weyant | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-05-01 |
| 1770058182 | Austin William Grewe | Physician Assistant | 1211 3rd St, Beaver, PA 15009-2530 | 2018-10-11 |
| 1063996361 | Michel Katherine Vasiladiotis | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2018-09-21 |
| 1922584507 | Jeffrey Thomas Kristan | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2018-07-17 |
| 1821582800 | Madison Rose Schmidt | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2018-06-21 |
| 1548785629 | Alexa Rae Curry | Physician Assistant | 605 Sharon Rd, Beaver, PA 15009-1919 | 2017-08-09 |
| 1144757451 | Timothy David Hontz | Physician Assistant | 703 Ritter Drive, Beaver, WV 25813 | 2017-05-17 |
| 1104374065 | Tyler W Kirkwood | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2016-09-20 |
| Find all providers in BEAVER | ||||
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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.