CATHY SUE CHILDRESS (NPI# 1851696843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851696843 |
| Entity Type | Individual |
| Full Name | CATHY SUE CHILDRESS |
| Credential | PA |
| Practice Address |
302 South 1st Avenue Martin SD 57551 |
| Mailing Address |
Po Box 550 302 South 1st Avenue Martin SD 57551-0550 |
| Practice Telephone | 6056856868 |
| Practice Fax Number | 6056856943 |
| Mailing Telephone | 6056856868 |
| Mailing Fax Number | 6056856943 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0766 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 SOUTH 1ST AVENUE |
| City | MARTIN |
| State | SD |
| Zip Code | 57551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113736 | Tami Lynn Toczek | Dietitian, Registered | 22013 Old Highway 18, Martin, SD 57551 | 2018-11-15 |
| 1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
| 1003208257 | Pine Ridge Indian Health Service Hospital | Clinic/Center | 119 South 1st Avenue, Martin, SD 57551 | 2015-02-25 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1417313016 | Amanda Lynn Ruhs | Nurse Practitioner | 109 Pugh Street, Martin, SD 57551 | 2016-01-12 |
| 1255416186 | Kirk Wilson Martin Drug & Mercantile | Pharmacy | 304 Main St, Martin, SD 57551-0050 | 2006-10-26 |
| 1942456330 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2008-08-18 |
| 1003105941 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen, Martin, SD 57551-0070 | 2011-03-31 |
| 1386891349 | Bennett County Hospital and Nursing Home | General Acute Care Hospital | 102 Major Allen St, Martin, SD 57551-0070 | 2008-08-21 |
| 1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
| Find all providers in zip 57551 | ||||
| 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 |
|---|---|---|---|---|
| 1255394912 | Jason Conley | Physician Assistant | 11087 Main St, Martin, KY 41649-7999 | 2006-04-11 |
| 1386623015 | Michael N. Williams | Physician Assistant | 263 Ky Route 122, Martin, KY 41649 | 2006-01-11 |
| 1972121945 | Jocelyn Rebecca Bergh | Physician Assistant | 109 Pugh St, Martin, SD 57551-7700 | 2020-07-07 |
| 1689165904 | Beaver Creek Emergency Group LLC | Physician Assistant | 11203 Main St, Martin, KY 41649-7999 | 2018-05-22 |
| 1215430616 | Paul James Ross | Physician Assistant | 11087 Main St, Martin, KY 41649-7999 | 2018-03-12 |
| 1407365455 | Margaret Victoria Lee | Physician Assistant | 109 Pugh St, Martin, SD 57551-7700 | 2017-09-21 |
| 1356867238 | Courtney Lajuan Carmichael | Physician Assistant | 109 Pugh St, Martin, SD 57551-7700 | 2017-08-22 |
| 1184084626 | Aiesha Clayton | Physician Assistant | 215 Hawks Rd, Suite 6, Martin, TN 38237-2708 | 2016-02-25 |
| 1407229115 | Botanical Emergency Physicians, LLC | Physician Assistant | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2015-11-03 |
| 1538135314 | Michael Trent Scates | Physician Assistant | 117 Kennedy Dr, Martin, TN 38237-3309 | 2006-02-23 |
| Find all providers in MARTIN | ||||
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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.