MR. THOMAS WAYNE DISTEL (NPI# 1932184926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932184926 |
| Entity Type | Individual |
| Full Name | MR. THOMAS WAYNE DISTEL |
| Credential | PA |
| Practice Address |
102 S Archer St Henrietta TX 76365-2746 |
| Mailing Address |
Po Box 360 102 South Archer Henrietta TX 76365-0360 |
| Practice Telephone | 9405384336 |
| Practice Fax Number | 9405386271 |
| Mailing Telephone | 9405384336 |
| Mailing Fax Number | 9405386271 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA01207 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | ST PA LICENSE | PA01207 | 01 |
| Street Address |
102 S ARCHER ST |
| City | HENRIETTA |
| State | TX |
| Zip Code | 76365-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346686383 | Crhistian Noemi Guerrero | Family Medicine | 102 S Archer St, Henrietta, TX 76365-2746 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880459 | Ann Polley | Registered Nurse | 515 Wikard, Henrietta, TX 76365 | 2019-09-19 |
| 1790081651 | Michael A Mitchell Do, Pllc | Family Medicine | 100 South Archer St., Henrietta, TX 76365 | 2011-02-09 |
| 1770561904 | Michael Allen Mitchell | Family Medicine | 100 S Archer, Henrietta, TX 76365 | 2006-01-06 |
| 1154306561 | Thomas David Greer | Family Medicine | 102 South Archer, Henrietta, TX 76365 | 2005-12-08 |
| 1629196423 | T David Greer Md and Associates | Family Medicine | 102 South Archer, Henrietta, TX 76365 | 2007-03-27 |
| 1649830878 | Maci Heuring | Registered Nurse | 1600 Us Highway 287 Access Rd N Apt 217, Henrietta, TX 76365-1505 | 2019-06-19 |
| 1518187988 | Rebecca Kay Fields | Licensed Vocational Nurse | 115 W 4th St, Henrietta, TX 76365-1734 | 2007-04-26 |
| 1760094635 | Geena Wyatt | Licensed Practical Nurse | 411 N Barrett St, Henrietta, TX 76365-2203 | 2020-08-20 |
| 1811330038 | Henrietta Independent School District | Local Education Agency (LEA) | 1801 E Crafton St, Henrietta, TX 76365-2414 | 2013-04-08 |
| 1417078205 | David E Sears, Dds | Dentist | 116 S Archer St, Henrietta, TX 76365-2746 | 2007-04-02 |
| Find all providers in zip 76365 | ||||
| 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 |
|---|---|---|---|---|
| 1902254667 | Stephanie Lynne Wierzba | Physician Assistant | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 | 2016-06-02 |
| 1689273203 | Marc Lee Sweeney | Physician Assistant | 50 Middle Rd, Henrietta, NY 14467-9312 | 2020-10-23 |
| 1801318738 | Cassidy Rose Smith | Physician Assistant | 2685 E Henrietta Rd, Henrietta, NY 14467-9370 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| 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.