TROY W LISCHKA (NPI# 1922196393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922196393 |
| Entity Type | Individual |
| Full Name | TROY W LISCHKA |
| Credential | PA-C |
| Practice Address |
1109 E Broadway St Cuero TX 77954-2108 |
| Practice Telephone | 3612752800 |
| Practice Fax Number | 3612758791 |
| Mailing Telephone | 3612752800 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03000 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA | ML1083118 | 01 |
| TX | DPS | MO131619 | 01 |
| Street Address |
1109 E BROADWAY ST |
| City | CUERO |
| State | TX |
| Zip Code | 77954-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689645376 | Parkside Family Clinic, Pa | Family Medicine | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-01-30 |
| 1285164749 | Hermelinda Fitts | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2017-06-18 |
| 1487009734 | Cody A Walthall | Family Medicine | 1109 E Broadway St, Cuero, TX 77954 | 2016-04-24 |
| 1659770030 | Dewitt Medical District | Family Medicine | 1109 E Broadway St, Cuero, TX 77954-2108 | 2014-08-21 |
| 1063793123 | Summer Laake | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2011-09-02 |
| 1962528778 | Kelly M Sullivan | Social Worker | 1109 E Broadway St, Cuero, TX 77954-2108 | 2007-03-22 |
| 1861595936 | Judith Ann Krupala | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-09-06 |
| 1700893484 | Herbert J Hall | Nurse Practitioner | 1109 E Broadway St, Cuero, TX 77954-2108 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649658279 | H-e-b, Lp | Clinical Medical Laboratory | 909 E Broadway St, Cuero, TX 77954 | 2015-05-15 |
| 1558331421 | Dewitt Medical District | Home Health | 615 N Esplanade St, Cuero, TX 77954 | 2006-01-24 |
| 1922367366 | D Ross Braune Ma Lpc and Associates | Counselor | 401 Broadway Ave., 100, Cuero, TX 77954 | 2012-05-04 |
| 1053487868 | Dewitt Medical District | Nursing Care | 615 N Esplanade St, Cuero, TX 77954 | 2006-11-27 |
| 1770699027 | Cuero Medical Associates Pa | Family Medicine | 2500 N Esplanade, Suite 102, Cuero, TX 77954 | 2006-08-21 |
| 1710202098 | David Ronald Polasek | Pharmacist | 515 N Esplanade, Cuero, TX 77954-0270 | 2010-03-30 |
| 1124284500 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1105 E Broadway St, Cuero, TX 77954-2108 | 2008-08-05 |
| 1104843382 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1202 E Broadway St, Cuero, TX 77954-2124 | 2006-07-16 |
| 1376082396 | Kevin Ferrall | Pharmacist | 909 E Broadway St, Cuero, TX 77954-2126 | 2017-02-23 |
| 1104953215 | Dewitt-lavaca Special Education Cooperative | Counselor | 960 E Broadway St, Cuero, TX 77954-2131 | 2007-02-27 |
| Find all providers in zip 77954 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| 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.