MS. MARLA D BEAVERS (NPI# 1902876246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902876246 |
| Entity Type | Individual |
| Full Name | MS. MARLA D BEAVERS |
| Credential | PA-C |
| Practice Address |
1563 Ogden Rd Montrose CO 81401-5683 |
| Practice Telephone | 9709644036 |
| Practice Fax Number | 9709644038 |
| Mailing Telephone | 9709644036 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0001291 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01721 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1563 OGDEN RD |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093100984 | John Muzic | Dermatology | 1563 Ogden Rd, Montrose, CO 81401 | 2015-03-30 |
| 1427483239 | Brooke Lee Larsen | Nurse Practitioner | 1563 Ogden Rd, Montrose, CO 81401-5683 | 2013-09-11 |
| 1154613016 | Montrose Dermatology Pllc | Dermatology | 1563 Ogden Rd, Montrose, CO 81401-5683 | 2011-05-11 |
| 1528105814 | Renata Raziano | Dermatology | 1563 Ogden Rd, Montrose, CO 81401-5683 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| 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 |
|---|---|---|---|---|
| 1629515606 | Kirk Miller | Physician Assistant | 16985 N 2400th St, Montrose, IL 62445-5004 | 2017-01-27 |
| 1124344080 | Chris K Polsley | Physician Assistant | 836 S. Townsend, Suite A, Montrose, CO 81401 | 2010-04-15 |
| 1689891491 | Elizabeth Ashley Singleton | Physician Assistant | 836 S Townsend Ave Ste C, Montrose, CO 81401-4360 | 2007-04-20 |
| 1598786865 | Norman Lee Dockins | Physician Assistant | 1550 E. Niagara Road, Peak Family Medicine, Montrose, CO 81401-5027 | 2006-07-22 |
| 1245854579 | Sidney Carol Wallin | Physician Assistant | 2094 Albany Post Road, Montrose, NY 10548 | 2020-06-02 |
| 1306460076 | Theresa Marie Pickell | Physician Assistant | 190 E State St, Montrose, MI 48457-9144 | 2020-05-29 |
| 1356989768 | Tiffany Joy Bermudez | Physician Assistant | 1550 E Niagara Rd, Montrose, CO 81401-5027 | 2019-12-16 |
| 1467912089 | Greta Mae Hoffman | Physician Assistant | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-03-20 |
| 1881095297 | Kerri Ann Portanova | Physician Assistant | 100 Hospital Dr, Montrose, PA 18801-6402 | 2014-09-05 |
| 1831507805 | Integrated Dermatology of Montrose, LLC | Physician Assistant | 3480 Wolverine Dr, Suite F, Montrose, CO 81401-4965 | 2014-07-23 |
| Find all providers in MONTROSE | ||||
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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.