MS. GLORIA MILBOURN (NPI# 1669581708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669581708 |
| Entity Type | Individual |
| Full Name | MS. GLORIA MILBOURN |
| Credential | P.A. |
| Practice Address |
203 Main Street Louisville NE 68037 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 4023549050 |
| Practice Fax Number | 4022345202 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1070 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 276484 | 05 | |
| NE | 10024994800 | 05 |
| Street Address |
203 MAIN STREET |
| City | LOUISVILLE |
| State | NE |
| Zip Code | 68037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093801888 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 203 Main Street, Louisville, NE 68037 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285176636 | Kayla Marie Mammen | Physical Therapist | 1276 Sand Hill Rd, #2, Louisville, NE 68037 | 2016-11-15 |
| 1366801490 | Express Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1254 Sandhill Cir. Suite 1, Louisville, NE 68037 | 2016-02-17 |
| 1447672514 | Natosha Siemek | Physical Therapist | 1268 E Henry Street. Suite 1, Louisville, NE 68037 | 2014-01-09 |
| 1497076756 | Daniel James Witte | Physical Therapist | 1268 E Henry Street, Suite 1, Louisville, NE 68037 | 2010-06-21 |
| 1689637456 | City of Louisville | Ambulance | 122 Main Street, Louisville, NE 68037 | 2006-04-11 |
| 1962580373 | Jason Lee Rohrs | Dentist | 229 Main Street, Louisville, NE 68037-0249 | 2006-11-02 |
| 1407991383 | Kitran R Geise | Pharmacist | 213 Main St, Box 339, Louisville, NE 68037-0339 | 2007-02-20 |
| 1912980921 | Louisville Care Center | Skilled Nursing Facility | 410 W 5th St, Louisville, NE 68037-6006 | 2005-11-23 |
| 1306320650 | Jenica Pauletto | Physical Therapy Assistant | 410 W 5th St, Louisville, NE 68037-6006 | 2018-09-23 |
| 1952851420 | Daniel Brockevelt | Physical Therapy Assistant | 410 W 5th St, Louisville, NE 68037-6006 | 2016-10-09 |
| Find all providers in zip 68037 | ||||
| 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 |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1184247231 | Jeremiah Noe | Physician Assistant | 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 | 2020-05-23 |
| 1598388894 | Amanda Marie Hafner | Physician Assistant | 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 | 2020-05-20 |
| 1205487170 | Kenneth D Morrison | Physician Assistant | 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 | 2019-09-23 |
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1760955546 | Benjamin Charles Askins | Physician Assistant | 7906 New La Grange Rd, Louisville, KY 40222-4718 | 2019-01-04 |
| 1770066292 | Molly Roberson Comprehensive Surgical Assistance Pllc | Physician Assistant | 1064 Eastern Pkwy, Louisville, KY 40217-1532 | 2018-09-11 |
| 1598246860 | Kelsi J Barnes | Physician Assistant | 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 | 2018-08-24 |
| 1174009930 | Faun Ellwood-digel | Physician Assistant | 275 W Walnut St, Louisville, CO 80027-2295 | 2018-07-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 68037 |
Please comment or provide details below to improve the information on MS. GLORIA MILBOURN.
| 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.