MR. BISHAL BISTA (NPI# 1720435746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720435746 |
| Entity Type | Individual |
| Full Name | MR. BISHAL BISTA |
| Credential | PA-C |
| Practice Address |
315 W 15th St Liberal KS 67901-2455 |
| Practice Telephone | 6206296477 |
| Practice Fax Number | 6206296651 |
| Mailing Telephone | 6206296477 |
| Mailing Fax Number | 6206296651 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0110005992 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1501810 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 Electric Rd, Salem, VA 241537494 | 5407764000 |
| Street Address |
315 W 15TH ST |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180054 | Carmelita Caedo Md Radiology Pa | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2006-01-28 |
| 1942867627 | Rachel Andreas | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1285291955 | Lauren Taylor Boyce | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1306329438 | Marlon S Bazan | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-14 |
| 1548743636 | Elyse A Bigler | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-13 |
| 1730674235 | Southwest Radiological Consultants LLC | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2018-06-27 |
| 1568979557 | Southwest Medical Center | Anesthesiology | 315 W 15th St, Liberal, KS 67901-2455 | 2017-12-29 |
| 1083124481 | Unnati Basnyat | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2017-10-11 |
| 1932652773 | Pegasus Emergency Physicians, LLC | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-07-28 |
| 1578950119 | Bereket T Woldemariam | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942867627 | Rachel Andreas | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1285291955 | Lauren Taylor Boyce | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1306329438 | Marlon S Bazan | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-14 |
| 1548743636 | Elyse A Bigler | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-13 |
| 1083124481 | Unnati Basnyat | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2017-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277703 | Riann Paige Tyree | Physician Assistant | 724 W Lincoln Ave, Greensburg, KS 67054-2522 | 2020-05-20 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1912408717 | Alyssa Ann Farrell | Physician Assistant | 235 W Vine St., Dighton, KS 67839 | 2018-02-27 |
| 1740790500 | Tory Christopher Fisher | Physician Assistant | 22450 S Harrison St Ste 100, Spring Hill, KS 66083-8882 | 2017-10-06 |
| 1619407871 | Lisa Raylene Steers | Physician Assistant | Po Box 10, Hugoton, KS 67951-0010 | 2017-06-19 |
| 1922547371 | Anna Ruelberg | Physician Assistant | 4921 W 18th Street, Lawrence, KS 66047-2090 | 2017-02-17 |
| 1255888319 | Morgan J Martin | Physician Assistant | 2610 N Woodlawn, Wichita, KS 67220 | 2016-09-07 |
| 1598135808 | Tracy Hoelting | Physician Assistant | 1150 N 75th Pl Ste 200, Kansas City, KS 66112-2466 | 2015-09-29 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1306195193 | Jessica M Hughbanks | Physician Assistant | 101 Industrial Rd, Hillsboro, KS 67063-9602 | 2012-09-07 |
| 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.