MR. BRYAN MIZNER (NPI# 1770950875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770950875 |
| Entity Type | Individual |
| Full Name | MR. BRYAN MIZNER |
| Credential | PA-C |
| Practice Address |
3203 Osborne Dr W Ste 101 Hastings NE 68901-9122 |
| Mailing Address |
720 N Webb Rd Grand Island NE 68803-3310 |
| Practice Telephone | 4028341005 |
| Practice Fax Number | 4023031022 |
| Mailing Telephone | 3083842500 |
| Mailing Fax Number | 3083842565 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2017-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1770950875 | 05 | |
| NE | 420680355-12 | 05 | |
| IA | PHYSICIAN ASSISTANT LICENSE | 079794 | 01 |
| Street Address |
3203 OSBORNE DR W STE 101 |
| City | HASTINGS |
| State | NE |
| Zip Code | 68901-9122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857883 | Twin Rivers Urgent Care LLC | Clinic/Center | 3203 Osborne Dr W Ste 101, Hastings, NE 68901-9140 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771423 | Melanie Rose Gardels | Dental Hygienist | 601 N St. Joseph Ave, Hastings, NE 68901 | 2018-12-10 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1881102846 | Sydney Jo Svehla | Occupational Therapist | 3601 Cimarron Plz Ste 105, Hastings, NE 68901 | 2018-01-11 |
| 1275938995 | Amanda Teter | Community Health Worker | 800 E 12th St, Hastings, NE 68901 | 2014-10-23 |
| 1013271246 | Dacia Dawn Oakeson | Nurse Practitioner | 224 E 14th St. Ste 100, Hastings, NE 68901 | 2012-07-03 |
| 1558590935 | Brenda Marie Bivens | Physical Therapist | 2307 Osborne Drive West, Hastings, NE 68901 | 2009-07-07 |
| 1841475894 | Christopher Andrew Murray | Chiropractor | 1934 West 2nd Street, Hastings, NE 68901 | 2008-01-08 |
| 1073725198 | Hastings Heart Institute LLC | Clinic/Center | 715 N Kansas Avenue, Suite 302, Hastings, NE 68901 | 2007-05-03 |
| 1790827764 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 926 East 'e' St, Hastings, NE 68901 | 2007-02-13 |
| 1508905308 | Margaret Irene Mc Cready | Counselor | Burlington Plaza, Burlington Street, Hastings, NE 68901 | 2007-02-06 |
| Find all providers in zip 68901 | ||||
| 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 |
|---|---|---|---|---|
| 1659830313 | Samuel Larking Rayburn | Physician Assistant | 2207 Osborne Dr W Ste 100, Hastings, NE 68901-9111 | 2019-03-13 |
| 1730688227 | Amelia R. Govert | Physician Assistant | 715 North Saint Joseph Avenue, Attn: Kim Kennedy Med Staff Coordinator, Hastings, NE 68901 | 2018-02-09 |
| 1831542539 | Valerie Kae Ross | Physician Assistant | 16681 185th St E, Hastings, MN 55033-9298 | 2016-07-18 |
| 1801141866 | Jesse Tyndall | Physician Assistant | 2727 W 2nd St # 340, Hastings, NE 68901-4684 | 2012-07-16 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1427033653 | Andrea D. Clement | Physician Assistant | 2115 N Kansas Ave Ste 103, Hastings, NE 68901-2615 | 2005-12-09 |
| 1982687927 | Nicole Dawn Pfeil | Physician Assistant | 2115 North Kansas Avenue, Children & Adolescent Clinic PC, Hastings, NE 68901 | 2005-11-23 |
| 1053927442 | Christina Marie Lindahl | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2020-09-21 |
| 1760024558 | Megan Mcconnell | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2019-10-13 |
| 1043851132 | Daniel Adam Blasch | Physician Assistant | 840 Cook Rd, Hastings, MI 49058-9616 | 2019-10-01 |
| Find all providers in HASTINGS | ||||
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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.