KENNETH WAYNE SICKEL (NPI# 1780821116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780821116 |
| Entity Type | Individual |
| Full Name | KENNETH WAYNE SICKEL |
| Credential | PA-C |
| Practice Address |
1262 W 5th St Sheridan WY 82801-2702 |
| Mailing Address |
813 Highland Ave Sheridan WY 82801-2729 |
| Practice Telephone | 3076746166 |
| Practice Fax Number | 3076728687 |
| Mailing Telephone | 3076735501 |
| Mailing Fax Number | 3073330488 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 231 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1262 W 5TH ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518140375 | Hugh Batty Md PC | Clinic/Center | 1262 W 5th St, Sheridan, WY 82801-2702 | 2007-12-14 |
| 1609035807 | Stephanie Lynn Sander | Physician Assistant | 1262 W 5th St, Sheridan, WY 82801-2702 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| 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 |
|---|---|---|---|---|
| 1306153432 | Katherine A Tetrault | Physician Assistant | 220 E Crofoot St, Sheridan, MT 59749-0336 | 2010-09-10 |
| 1144259938 | Wendy Marie Ongaro | Physician Assistant | 31 E Whitney St., Sheridan, WY 82801-4842 | 2006-07-02 |
| 1568418192 | South Sheridan Medical Center, Inc | Physician Assistant | 1842 Sugarland Drive, Suite 103, Sheridan, WY 82801-5719 | 2006-05-25 |
| 1225026966 | Dana S Harvey | Physician Assistant | 210 E Crofoot, Sheridan, MT 59749 | 2005-10-06 |
| 1861492316 | Elizabeth J Steinle | Physician Assistant | 303 Congress St, Sheridan, MI 48884-9215 | 2005-07-27 |
| 1285258731 | Jeff H Gardner | Physician Assistant | 1435 Burton St, Sheridan, WY 82801-2723 | 2020-06-01 |
| 1033653282 | Jessica Renee Winston | Physician Assistant | 506 Little Creek Cut Off Rd, Sheridan, AR 72150-7798 | 2016-12-07 |
| 1366998437 | Sean Michael Schoonover | Physician Assistant | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2016-08-29 |
| 1356744890 | Kenneth Chandler Mckenzie | Physician Assistant | 1401 W 5th St, Sheridan, WY 82801-2705 | 2014-09-29 |
| 1205147576 | Amy Nicole Ledoux | Physician Assistant | 206 N Brooks St, Sheridan, WY 82801-3801 | 2010-07-01 |
| Find all providers in SHERIDAN | ||||
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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.