LEONARD TRENT WONNENBERG (NPI# 1609147461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609147461 |
| Entity Type | Individual |
| Full Name | LEONARD TRENT WONNENBERG |
| Credential | PAC |
| Practice Address |
1000 18th St Sw Ste 27 Huron SD 57350-3486 |
| Mailing Address |
602 1st St Ne Ste 1 Wessington Springs SD 57382-2163 |
| Practice Telephone | 6055541015 |
| Practice Fax Number | 6055541016 |
| Mailing Telephone | 6055399836 |
| Mailing Fax Number | 6055399546 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0803 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 18TH ST SW STE 27 |
| City | HURON |
| State | SD |
| Zip Code | 57350-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437191624 | Cvs Pharmacy Inc | Pharmacy | 1000 18th St Sw, Huron, SD 57350-3486 | 2006-06-12 |
| 1639523467 | Kmart Pharmacy | Pharmacy | 1000 18th St Sw, Huron, SD 57350-3486 | 2016-04-18 |
| 1679909188 | Sara Solem | Pharmacist | 1000 18th St Sw, Huron, SD 57350-3486 | 2013-09-17 |
| 1184655177 | K Mart Corp | Pharmacy | 1000 18th St Sw, Huron, SD 57350-3486 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437606845 | Juliana Janssen | Speech-Language Pathologist | 1680 Idaho Se, Huron, SD 57350 | 2016-09-01 |
| 1720438997 | Lisa Mickelsen-strubel | Occupational Therapist | 150 5th St Sw, Huron, SD 57350 | 2016-06-17 |
| 1699165639 | Mitchell Hearing Aide Center Inc. | Hearing Instrument Specialist | 1288 Dakota S., Suite #1, Huron, SD 57350 | 2015-01-29 |
| 1518370238 | Independent Health Solutions LLC | Registered Nurse | 1143 Lincoln Ave Sw, Huron, SD 57350 | 2014-06-10 |
| 1114232634 | J.c. Palmer | Hearing Instrument Specialist | 264 Kansas Ave. S.e., Huron, SD 57350 | 2010-08-09 |
| 1053584896 | Donald Ashley Ferrier | Counselor | 1734 Mcilvane Ct Sw, Huron, SD 57350 | 2008-04-11 |
| 1679760318 | Michael A. Fuchs, D.d.s., P.C. | Clinic/Center | 530 Iowa Se, Huron, SD 57350 | 2007-09-26 |
| 1245353374 | Shelly Fuller | Counselor | 357 Kansas Se, Huron, SD 57350 | 2007-04-06 |
| 1497870356 | Dakota Energy Cooperative Inc | Durable Medical Equipment & Medical Supplies | 40294 Us Hwy 14, Huron, SD 57350 | 2007-03-20 |
| 1376638684 | Reed A Hittle | Physical Therapist | 530 Iowa Se Suite 105, Huron, SD 57350 | 2006-10-03 |
| Find all providers in zip 57350 | ||||
| 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 |
|---|---|---|---|---|
| 1851479745 | Nancy Lou Balvin | Physician Assistant | 270 Kansas Ave Se, Huron, SD 57350-2028 | 2006-11-01 |
| 1437128824 | Asbel Obed Bolado | Physician Assistant | 16928 11th Street, Huron, CA 93234 | 2006-03-16 |
| 1952383572 | Kimberlee Kay Herrmann | Physician Assistant | 33 3rd St Se Ste 201, Huron, SD 57350-2064 | 2005-11-18 |
| 1437149820 | Janelle Maria Hanna | Physician Assistant | 33 3rd St Se, 201, Huron, SD 57350-2063 | 2005-10-26 |
| 1295738789 | Susan Kay Olson | Physician Assistant | 455 Kansas Ave Se, Huron, SD 57350-2522 | 2005-05-27 |
| 1861904476 | Tia Marie Chase | Physician Assistant | 111 4th St Se, Huron, SD 57350-2509 | 2017-11-05 |
| 1376929000 | Jacob Lyngaas | Physician Assistant | 172 4th St Se, Huron, SD 57350-2510 | 2015-08-04 |
| 1649682428 | Paul K Brown | Physician Assistant | 1000 18th St Sw Ste 27, Huron, SD 57350 | 2014-05-28 |
| 1720327331 | Amanda Lynn Adams | Physician Assistant | 1000 18th St Sw Ste 27, Huron, SD 57350-3488 | 2013-02-04 |
| 1316285471 | Kyla Beth Feickert | Physician Assistant | 33 3rd St Se, Suite 201, Huron, SD 57350-2063 | 2013-01-24 |
| Find all providers in HURON | ||||
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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.