LARRY G KISBY (NPI# 1639127517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639127517 |
| Entity Type | Individual |
| Full Name | LARRY G KISBY |
| Credential | PA-C |
| Practice Address |
710 Reynolds Road Fremont NE 68025-2300 |
| Practice Telephone | 4027271091 |
| Practice Fax Number | 4027277628 |
| Mailing Telephone | 4027271091 |
| Mailing Fax Number | 4027277628 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 358 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
710 REYNOLDS ROAD |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366490153 | Cherie R Martinez | Physician Assistant | 710 Reynolds Road, Fremont, NE 68025-2300 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| 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 |
|---|---|---|---|---|
| 1962054213 | Phuong Thi Du Nguyen | Physician Assistant | 34311 Oconnell Ct, Fremont, CA 94555-3027 | 2019-07-16 |
| 1083107304 | Zeba Mundu | Physician Assistant | 35864 Mission Blvd, Fremont, CA 94536-1544 | 2018-06-12 |
| 1518402353 | Patrizia Andreina Visconti | Physician Assistant | 2557 Mowry Ave Ste 25, Fremont, CA 94538-1614 | 2017-01-04 |
| 1144698721 | Cindy Luo | Physician Assistant | 2557 Mowry Ave # 3a, Fremont, CA 94538-1603 | 2015-09-12 |
| 1639239205 | Jeffrey Cooper | Physician Assistant | 39120 Argonaut Way # 275, Fremont, CA 94538-1304 | 2006-12-12 |
| 1467529842 | Yvonne Muro | Physician Assistant | 686 Mowry Ave., Fremont, CA 94536-4113 | 2006-11-29 |
| 1487728747 | Mary J Flamme | Physician Assistant | 1848 N Nye Ave, Fremont, NE 68025-1300 | 2006-11-20 |
| 1104933548 | Andrea Jane Neault | Physician Assistant | N430 Wood Duck Dr, Fremont, WI 54940 | 2006-08-23 |
| 1720030471 | Jason Landon Garrow | Physician Assistant | E7376 Hwy H, Fremont, WI 54940-3454 | 2006-05-17 |
| 1225097389 | Ami S Jones | Physician Assistant | 426 E 22nd St Ste 100, Fremont, NE 68025-2633 | 2006-03-18 |
| Find all providers in FREMONT | ||||
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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.