MYLES COX SIBLEY (NPI# 1619495033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619495033 |
| Entity Type | Individual |
| Full Name | MYLES COX SIBLEY |
| Credential | PA-C |
| Practice Address |
377 Sylvan Lake Rd Ste 210 Eagle CO 81631-6779 |
| Mailing Address |
Po Box 4330 Avon CO 81620-4330 |
| Practice Telephone | 9709266340 |
| Practice Fax Number | 9709266348 |
| Mailing Telephone | 9709266340 |
| Mailing Fax Number | 9709266348 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA.0006348 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA60905204 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1619495033 | 05 |
| Street Address |
377 SYLVAN LAKE RD STE 210 |
| City | EAGLE |
| State | CO |
| Zip Code | 81631-6779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1689213829 | Erin E Johnson | Pharmacist | 0103 Market Street, Eagle, CO 81631 | 2020-01-06 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1922525815 | Susan Robinson | Physical Therapist | 1143 Capitol St, Unit 102b, Eagle, CO 81631 | 2017-08-23 |
| 1184148157 | Hallie Mclaughlin | Dental Hygienist | 530 Founders Ave, Eagle, CO 81631 | 2017-08-01 |
| 1780125252 | Brendan Quinn | Pharmacist | 264 Fulford Drive, Eagle, CO 81631 | 2017-03-16 |
| 1710428883 | Eagle Orthodontics, PC | Dentist | 011 Eagle Park Dr., Eagle, CO 81631 | 2017-03-09 |
| Find all providers in zip 81631 | ||||
| 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 |
|---|---|---|---|---|
| 1801370945 | Bryan David Harr | Physician Assistant | 1675 E Riverside Dr, Eagle, ID 83616-6237 | 2018-09-24 |
| 1346791613 | Kristen Leenhouts | Physician Assistant | 2582 N Eagle Rd, Eagle, ID 83616-3650 | 2016-10-20 |
| 1952441305 | Kellee J Crockett | Physician Assistant | 1032 S Bridgway Pl, Suite 100, Eagle, ID 83616 | 2007-02-07 |
| 1891206777 | Jessica Lee Wohlschlegel | Physician Assistant | 323 E Riverside Dr Ste 224, Eagle, ID 83616-6865 | 2017-10-18 |
| 1346647526 | Bradley Morris | Physician Assistant | 3217 W Bavaria St, Eagle, ID 83616-5171 | 2014-12-03 |
| 1245536119 | Rebecca C Urquhart | Physician Assistant | 377 Sylvan Lake Rd, Eagle, CO 81631 | 2011-02-09 |
| 1326357070 | Amber Ann Hackenberg | Physician Assistant | 323 E Riverside Drive, Ste 224, Eagle, ID 83616 | 2010-09-29 |
| 1588987309 | Andrew Reed Crawford | Physician Assistant | 3217 W Bavaria St, Eagle, ID 83616-5171 | 2010-03-08 |
| 1447483086 | Matthew Valley | Physician Assistant | 1605 E Riverside Dr, Eagle, ID 83616-6237 | 2009-08-31 |
| 1629228978 | Talia M Sierra | Physician Assistant | 3217 W Bavaria Street, Eagle, ID 83616 | 2008-09-23 |
| Find all providers in EAGLE | ||||
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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.