TIM JOE FICKEN (NPI# 1790206670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790206670 |
| Entity Type | Individual |
| Full Name | TIM JOE FICKEN |
| Credential | CSTFA |
| Practice Address |
2110 Sioux Trl Bar Nunn WY 82601-7611 |
| Practice Telephone | 3072774209 |
| Mailing Telephone | 3072774209 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2110 SIOUX TRL |
| City | BAR NUNN |
| State | WY |
| Zip Code | 82601-7611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508373630 | First Assist Associates, LLC | Physician Assistant | 2110 Sioux Trl, Bar Nunn, WY 82601-7611 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
| 1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
| 1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
| 1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
| 1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
| 1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
| 1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
| 1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
| 1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
| 1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
| Find all providers in zip 82601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508373630 | First Assist Associates, LLC | Physician Assistant | 2110 Sioux Trl, Bar Nunn, WY 82601-7611 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1285070326 | Ryan R Wallace | Physician Assistant | 7226 Crested Butte Dr, Cheyenne, WY 82009-3629 | 2013-05-16 |
| 1275175622 | Moriahn Bunney | Physician Assistant | 2901 Powder Basin Ave, Gillette, WY 82718-6406 | 2019-10-16 |
| 1356702559 | Anna Woollacott | Physician Assistant | 6600 E 2nd St, Casper, WY 82609-4348 | 2016-03-15 |
| 1760841696 | Brady Esplin | Physician Assistant | 901 Adams St, Afton, WY 83110-9621 | 2016-02-20 |
| 1265816466 | Tristyn Richendifer | Physician Assistant | 808 Riverbend Dr, Douglas, WY 82633-2054 | 2015-07-17 |
| 1093132706 | Karla Martinez Chapman | Physician Assistant | 204 Mccollum St, Ste 203, Laramie, WY 82070-5127 | 2014-03-20 |
| 1255768644 | Stephanie Marie Pierce | Physician Assistant | 6600 E 2nd St, Central Wyoming Neurosurgery, Casper, WY 82609 | 2013-10-01 |
| 1073756151 | Nikki Lynn Fedel | Physician Assistant | 6600 E 2nd St, Casper, WY 82609-4348 | 2009-04-20 |
| 1811099450 | Christopher Harold Erschen | Physician Assistant | 815 E Main St, Lander, WY 82520-3491 | 2006-09-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TIM JOE FICKEN.
| 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.