MR. MICHAEL THOMAS MCQUEENEY (NPI# 1720334410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720334410 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL THOMAS MCQUEENEY |
| Credential | PA-C |
| Practice Address |
114 3rd St Ne Rolla ND 58367-7137 |
| Mailing Address |
514 3rd St Ne Rolla ND 58367-7220 |
| Practice Telephone | 7014773111 |
| Mailing Telephone | 7322775330 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0491 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
114 3RD ST NE |
| City | ROLLA |
| State | ND |
| Zip Code | 58367-7137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867397 | Lavonne M Charbonneau | Physician Assistant | 114 3rd St Ne, Rolla, ND 58367-7137 | 2005-11-10 |
| 1508472473 | Christine Genevieve Hedstrom | Physician Assistant | 114 3rd St Ne, Rolla, ND 58367-7137 | 2020-09-16 |
| 1356847446 | Brayden Walker | Nurse Practitioner | 114 3rd St Ne, Rolla, ND 58367-7137 | 2018-04-05 |
| 1891213328 | Christy Zinck | Nurse Practitioner | 114 3rd St Ne, Rolla, ND 58367-7137 | 2017-09-05 |
| 1225369523 | Northland Health Partners Community Health Center | Clinic/Center | 114 3rd St Ne, Rolla, ND 58367 | 2010-01-26 |
| 1366639213 | Lilia Marcelina Cid | Family Medicine | 114 3rd St Ne, Rolla, ND 58367-7137 | 2007-09-25 |
| 1215948435 | Rolla Clinic, P.C. | Family Medicine | 114 3rd St Ne, Rolla, ND 58367-7137 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946343 | Kayla M Wallette | Technician, Other | 1102 Main Ave, Rolla, ND 58367 | 2020-03-06 |
| 1972092757 | William David Nix | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2018-05-07 |
| 1598138745 | Catherine Minick | Case Manager/Care Coordinator | 1102 Main Ave W, Rolla, ND 58367 | 2015-11-10 |
| 1881008266 | Rolette County Social Services | Case Management | 210 2nd Ave Ne, Rolla, ND 58367 | 2014-06-13 |
| 1346318268 | Commmunity Ambulance Service, Inc | Ambulance | 217 5th Ave Ne, Rolla, ND 58367 | 2006-11-30 |
| 1831735257 | Kyla Marie Larocque | Case Manager/Care Coordinator | 102 Main Ave W, Rolla, ND 58367 | 2019-11-20 |
| 1598204489 | Laura L Waagen | Social Worker | 1102 Main Ave W, Rolla, ND 58367 | 2017-02-13 |
| 1629224829 | Susan M. Davis | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2008-08-07 |
| 1588848741 | Andrea E Laverdure | Counselor | 113 Main Ave E, Rolla, ND 58367 | 2007-12-24 |
| 1750565917 | Lisa Marie Neameyer | Social Worker | 113 Main Ave E, Rolla, ND 58367 | 2007-12-24 |
| Find all providers in zip 58367 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679030522 | Megan Luree Mabe | Physician Assistant | 1081 E 18th St, Rolla, MO 65401-2448 | 2019-02-27 |
| 1386142685 | Rachel Nacole Clark | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355608 | Jenny L Brown | Physician Assistant | 3750 19th St Sw, Center, ND 58530-9700 | 2019-06-14 |
| 1407335383 | Chelsey Galipeau | Physician Assistant | 516 1st Ave Sw, Dickinson, ND 58601-5906 | 2018-08-10 |
| 1093184657 | Grant Lannoye | Physician Assistant | 7448 Us Hwy 281, Cando, ND 58324-0688 | 2015-09-24 |
| 1821408907 | Laramie Jay Richmond | Physician Assistant | 311 Davis St N, Burlington, ND 58722-2027 | 2014-04-29 |
| 1962749226 | Lindsey K Baker | Physician Assistant | 1600 2nd Ave Sw Ste 19, Minot, ND 58701-3459 | 2013-01-07 |
| 1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
| 1811036247 | Tyesha Dawn Marie Dent | Physician Assistant | 302 North Main, Elgin, ND 58533 | 2007-02-05 |
| 1629160080 | Teresa Nielsen | Physician Assistant | 820 2nd Ave W, New England, ND 58647 | 2006-09-29 |
| 1841208394 | Lynette Marie Azure | Physician Assistant | 320 4th St Se, Devils Lake, ND 58301-3610 | 2006-08-03 |
| 1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
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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.