MICHAEL ANTHONY TISKA (NPI# 1952340705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952340705 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY TISKA |
| Credential | P.A-C |
| Practice Address |
726 4th Street Marysville CA 94901 |
| Mailing Address |
2100 Powell Street Ste 920 Emeryville CA 94608-1803 |
| Practice Telephone | 5307494300 |
| Mailing Telephone | 5103502777 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16554 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
726 4TH STREET |
| City | MARYSVILLE |
| State | CA |
| Zip Code | 94901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730134289 | Cep America - California | Emergency Medicine | 726 4th Street, Marysville, CA 94901 | 2006-05-23 |
| 1639208721 | Alexandra Ilma Reichman | Pathology | 726 4th Street, Rideout Memorial Hospital Laboratory, Marysville, CA 95901 | 2007-03-05 |
| 1629012810 | George B Williams | Emergency Medicine | 726 4th Street, Marysville, CA 94901 | 2006-06-16 |
| 1679517205 | Katherine Kelly | Registered Nurse | 726 4th Street, Marysville, CA 94901 | 2006-06-15 |
| 1205876208 | Robert Allen Martin | Emergency Medicine | 726 4th Street, Marysville, CA 94901 | 2006-06-07 |
| 1548200546 | Karen Ann Parker | Emergency Medicine | 726 4th Street, Marysville, CA 94901 | 2006-06-07 |
| 1609816743 | Mark Steven Agness | Family Medicine | 726 4th Street, Marysville, CA 94901 | 2006-06-07 |
| 1669412714 | William M Webster | Emergency Medicine | 726 4th Street, Marysville, CA 94901 | 2006-06-07 |
| 1205876240 | Steven H Segerstrom | Family Medicine | 726 4th Street, Marysville, CA 94901 | 2006-06-07 |
| 1740229269 | Belinda Beth Birkner | Physician Assistant | 726 4th Street, Marysville, CA 94901 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1346870128 | Margaret A Macdonald | Physician Assistant | 140 Colemans Xing # 100, Marysville, OH 43040-7080 | 2020-01-22 |
| 1730747981 | Claire Blumer | Physician Assistant | 801 Alston St, Marysville, KS 66508-1542 | 2019-06-03 |
| 1730551722 | Rikki Pautz | Physician Assistant | 1600 Gratiot Blvd Ste 9, Marysville, MI 48040-1145 | 2015-10-29 |
| 1437437274 | Nishi Dhanota | Physician Assistant | 201 D St Ste G, Marysville, CA 95901-5957 | 2011-07-27 |
| 1235157967 | Peach Tree Healthcare | Physician Assistant | 724 5th St, Marysville, CA 95901-5646 | 2006-07-18 |
| 1629028485 | Angela Nicole Dare | Physician Assistant | 388 Damascus Rd Ste A, Marysville, OH 43040-5535 | 2006-05-11 |
| 1467074161 | Megan Culberson | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2020-05-15 |
| 1851923775 | Adrianna Deam | Physician Assistant | 500 London Ave, Marysville, OH 43040-5512 | 2020-02-08 |
| 1104483783 | Blake Beck | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2019-05-20 |
| 1891264107 | Carl Townsend Glissmeyer | Physician Assistant | 3955 156th St Ne, Marysville, WA 98271-4831 | 2018-11-15 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 94901 |
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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.