NIGER STICE (NPI# 1548500770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548500770 |
| Entity Type | Individual |
| Full Name | NIGER STICE |
| Credential | PA-C |
| Practice Address |
17 Medical Plaza Mountain Home AR 72653-2918 |
| Practice Telephone | 8704256235 |
| Practice Fax Number | 8704243774 |
| Mailing Telephone | 8704256235 |
| Mailing Fax Number | 8704243774 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PT1313 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17 MEDICAL PLAZA |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710291752 | Twin Lakes Physician Group Pa | Pain Medicine | 17 Medical Plaza, Mountain Home, AR 72653 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1821304007 | Melissa A Walsh | Physician Assistant | 110 Rattlesnake Ave Ste B, Mountain Home, ID 83647-4220 | 2010-08-25 |
| 1821022732 | Kevin John Mccoy | Physician Assistant | Sidney and Lamont St, Mountain Home, TN 37684 | 2006-07-10 |
| 1427555119 | Jamie Knapp | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2018-04-09 |
| 1265852909 | Whitney Ann Roberts | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2014-04-21 |
| 1902231178 | Interventional Pain Management Associates Pllc | Physician Assistant | 17 Medical Plz, Mountain Home, AR 72653-2918 | 2013-09-06 |
| 1912156068 | Diana Sue Riley | Physician Assistant | 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 | 2008-09-13 |
| 1356549901 | Jeffery D Tate | Physician Assistant | 555 W 6th St, Mountain Home, AR 72653-3409 | 2007-07-05 |
| 1063578664 | Doctors Clinic of Elmore County Pllc | Physician Assistant | 2000 American Legion Blvd, Mountain Home, ID 83647-3138 | 2006-12-28 |
| 1356438394 | Russell Franklin Lawrence | Physician Assistant | Veterans Affairs Medical Center, Lamont and Sydney Streets, Mountain Home, TN 37684-4000 | 2006-10-10 |
| 1134148638 | William Tate Blalock | Physician Assistant | Dogwood Ave, Quillen Veterans Affairs Medical Center -bldg 204, Mountain Home, TN 37684-4000 | 2006-07-18 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on NIGER STICE.
| 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.