TIMOTHY J YRASTORZA (NPI# 1609851005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609851005 |
| Entity Type | Individual |
| Full Name | TIMOTHY J YRASTORZA |
| Credential | PA-C |
| Practice Address |
4740 A St Suite 100 Lincoln NE 68510-4824 |
| Practice Telephone | 4024837825 |
| Practice Fax Number | 4024837839 |
| Mailing Telephone | 4024837825 |
| Mailing Fax Number | 4024837839 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2012-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1213 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
966 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47059807113 | 05 |
| Street Address |
4740 A ST SUITE 100 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033367206 | Edmundo Rivera | Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4824 | 2008-08-29 |
| 1528273877 | Matthew A. Goettsch | Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4824 | 2007-05-11 |
| 1548331291 | Lincoln Surgical Group PC | Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-11-13 |
| 1346338407 | Christy M. Snyder | Physician Assistant | 4740 A St, Suite 200, Lincoln, NE 68510-4822 | 2006-10-11 |
| 1457379257 | Louis J Gogela Jr. | Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-07-18 |
| 1831123389 | David W Voigt | Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-07-10 |
| 1366476822 | Thomas B Whittle | Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-07-10 |
| 1215961776 | Roy L Maurer | Physician Assistant | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-07-10 |
| 1205860871 | Richard M Pitsch Jr. | Colon & Rectal Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-07-10 |
| 1699709196 | Robert J Pitsch | Surgery | 4740 A St, Suite 100, Lincoln, NE 68510-4822 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1285643189 | Charles E Scholtes | Physician Assistant | 8207 Northwoods Drive, Lincoln, NE 68505-2093 | 2006-08-07 |
| 1447237284 | Todd Allen Sorensen | Physician Assistant | 2222 S 16th St Medical Tower B, Ste 305, Lincoln, NE 68502 | 2005-12-22 |
| 1013548106 | Aaron Patrick Aldana | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2020-01-28 |
| 1336706498 | Kristen Illene Huebsch | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2019-05-23 |
| 1831657642 | Parker Hoffman | Physician Assistant | 7440 S 91st St, Lincoln, NE 68526-9797 | 2019-03-11 |
| 1003309451 | Andre N Orduna | Physician Assistant | 1500 S 48th St Ste 400, Lincoln, NE 68506-1278 | 2018-06-11 |
| 1255851010 | Jessica R Zaruba | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2017-06-22 |
| 1053861617 | Lauren Chatwell | Physician Assistant | 2222 S 16th St Ste 305, Lincoln, NE 68502-3762 | 2016-10-07 |
| 1912352139 | Molly Christine Scheich | Physician Assistant | 2300 S 16th St, Lincoln, NE 68502-3704 | 2016-04-25 |
| Find all providers in LINCOLN | ||||
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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.