MRS. TYESHA DAWN MARIE DENT (NPI# 1811036247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811036247 |
| Entity Type | Individual |
| Full Name | MRS. TYESHA DAWN MARIE DENT |
| Other Name | MS. TYESHA DAWN MARIE SITSLER |
| Credential | PA-C |
| Practice Address |
302 North Main Elgin ND 58533 |
| Mailing Address |
6857 Hwy. 21 Elgin ND 58533 |
| Practice Telephone | 7015843010 |
| Practice Fax Number | 7015843011 |
| Mailing Telephone | 7015843246 |
| Mailing Fax Number | 7015843011 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0361 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS BLUE SHIELD | 28537 | 01 |
| ND | DEA | MD1531412 | 01 |
| ND | 11228 | 05 |
| Street Address |
302 NORTH MAIN |
| City | ELGIN |
| State | ND |
| Zip Code | 58533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820299 | Three In One Physical Therapy, Pllc | Physical Therapist | 207 Main Street North, Elgin, ND 58533 | 2020-01-13 |
| 1033233150 | Nancy L Mcpherson | Physician Assistant | 603 East St North, Jacobson Memorial Hospital Care Center, Elgin, ND 58533 | 2007-03-16 |
| 1407902919 | Elizabeth Elaine Sundberg | Emergency Medicine | 601 East St. N, Elgin, ND 58533 | 2007-01-26 |
| 1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
| 1013012327 | Family Vision Clinic LLP | Optometrist | 110 Main St N, Elgin, ND 58533 | 2006-09-13 |
| 1508161811 | Deepak Manmohan Goyal | Internal Medicine | 603 East St N, Elgin, ND 58533 | 2011-01-18 |
| 1821392093 | Home Town Health | Physician Assistant | 302 N Main St, Elgin, ND 58533 | 2011-01-03 |
| 1396895942 | Marcia Ketterling | Nurse Practitioner | 302 N Main St, Elgin, ND 58533 | 2007-01-12 |
| 1023036050 | Economy Drug Inc | Pharmacy | 201 N Main St, Elgin, ND 58533 | 2006-07-17 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| Find all providers in zip 58533 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890775 | Meredith M Rintz | Physician Assistant | 2350 Royal Blvd Ste 300, Elgin, IL 60123-4718 | 2020-01-15 |
| 1578935896 | Jenny Brophy | Physician Assistant | 1600 N Randall Rd, Suite 400, Elgin, IL 60123-7803 | 2015-10-26 |
| 1356711584 | William Larsen | Physician Assistant | 1530 N Randall Rd Ste 210, Elgin, IL 60123-7879 | 2015-09-30 |
| 1285036103 | Daniel Newbrander | Physician Assistant | 370 Summit St, Elgin, IL 60120-3843 | 2014-09-23 |
| 1114358017 | Marcon Medical Partners Inc | Physician Assistant | 1140 N Mclean Blvd, Unit C, Elgin, IL 60123-1782 | 2013-12-03 |
| 1619305034 | Alicia Joanna Van Slee | Physician Assistant | 1710 N Randall Rd, Suite 160, Elgin, IL 60123-9400 | 2013-10-22 |
| 1730524695 | Sherrie Ann Fernandes | Physician Assistant | 1990 Larkin Ave, Suite 3, Elgin, IL 60123-5827 | 2013-05-06 |
| 1508073198 | Mario Jose Astacio | Physician Assistant | 1140 N Mclean Blvd, Suite C, Elgin, IL 60123-1782 | 2007-05-16 |
| 1821128398 | Cynthia Applehoff | Physician Assistant | 2350 Royal Blvd, Suite 300, Elgin, IL 60123-4719 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355608 | Jenny L Brown | Physician Assistant | 3750 19th St Sw, Center, ND 58530-9700 | 2019-06-14 |
| 1407335383 | Chelsey Galipeau | Physician Assistant | 516 1st Ave Sw, Dickinson, ND 58601-5906 | 2018-08-10 |
| 1093184657 | Grant Lannoye | Physician Assistant | 7448 Us Hwy 281, Cando, ND 58324-0688 | 2015-09-24 |
| 1821408907 | Laramie Jay Richmond | Physician Assistant | 311 Davis St N, Burlington, ND 58722-2027 | 2014-04-29 |
| 1962749226 | Lindsey K Baker | Physician Assistant | 1600 2nd Ave Sw Ste 19, Minot, ND 58701-3459 | 2013-01-07 |
| 1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
| 1629160080 | Teresa Nielsen | Physician Assistant | 820 2nd Ave W, New England, ND 58647 | 2006-09-29 |
| 1841208394 | Lynette Marie Azure | Physician Assistant | 320 4th St Se, Devils Lake, ND 58301-3610 | 2006-08-03 |
| 1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
| 1366469033 | Michelle A Lueck | Physician Assistant | 201 4th Ave, Enderlin, ND 58027-1325 | 2006-07-17 |
| 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.