LANCE E HARDWIG (NPI# 1760494611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760494611 |
| Entity Type | Individual |
| Full Name | LANCE E HARDWIG |
| Credential | P.A, |
| Practice Address |
13071 Nett Lake Rd. Nett Lake MN 55771 |
| Mailing Address |
3920 13th Ave E Suite 6 Hibbing MN 55746-3675 |
| Practice Telephone | 2187573295 |
| Practice Fax Number | 2187570222 |
| Mailing Telephone | 2182637540 |
| Mailing Fax Number | 8667320699 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 30109 | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 63G36HA | 01 |
| Street Address |
13071 NETT LAKE RD. |
| City | NETT LAKE |
| State | MN |
| Zip Code | 55771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750498218 | Bois Forte Reservation Tribal Council | Ambulance | 5219 Saint John Dr, Orr, MN 55771 | 2006-08-23 |
| 1043468853 | Bois Forte Health Services | Case Management | 13071 Nett Lake Road, Nett Lake, MN 55771 | 2008-09-04 |
| 1437181179 | Charles R Helleloid | Family Medicine | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-07-06 |
| 1134308448 | Raymond Lawrence Hawk | Physician Assistant | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2007-11-02 |
| 1265512420 | Michael Todd Rowlette | Dentist | 13071 Nett Lake Rd, Orr, MN 55771-8111 | 2006-10-16 |
| 1497373070 | Melissa Hawk | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2020-07-09 |
| 1265058903 | Bois Forte Reservation Tribal Government | Pharmacy | 5219 Saint John Dr, Orr, MN 55771-8232 | 2020-06-18 |
| 1225536592 | Brandon Mark Anderson | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2018-01-31 |
| 1285153007 | Paul Rasmussen | Nurse Practitioner | 5219 Saint John Dr, Orr, MN 55771-8232 | 2017-09-13 |
| 1316482672 | Wendy Drift | Social Worker | 5219 Saint John Dr, Orr, MN 55771-8232 | 2016-12-22 |
| Find all providers in zip 55771 | ||||
| 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 |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| 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.