BRYAN MCCOY MORITZ (NPI# 1952691313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952691313 |
| Entity Type | Individual |
| Full Name | BRYAN MCCOY MORITZ |
| Credential | PA |
| Practice Address |
1001 Hart Blvd Ste 100 Monticello MN 55362 |
| Mailing Address |
1700 Highway 25 N Buffalo MN 55313-1930 |
| Practice Telephone | 7632713800 |
| Mailing Telephone | 7636843600 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 12885 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 HART BLVD STE 100 |
| City | MONTICELLO |
| State | MN |
| Zip Code | 55362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940109 | Devanshu V. Kansara | Specialist | 1001 Hart Blvd Ste 100, Monticello Clinic, Monticello, MN 55362-8929 | 2005-05-24 |
| 1851934848 | Maura Romanshek | Family Medicine | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2019-10-22 |
| 1013499367 | Kathryn Ann Alvarez | Physician Assistant | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2018-09-04 |
| 1538514658 | Heidi Renae Nichol | Family Medicine | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2016-04-26 |
| 1437542016 | Mallory Lynn Gustin | Nurse Practitioner | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2015-03-06 |
| 1801202932 | Lynn Lampi | Nurse Practitioner | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2014-07-09 |
| 1477995272 | Kasy Lynn Omann | Nurse Practitioner | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2013-07-22 |
| 1528359452 | Abby R Labounty | Family Medicine | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2011-04-26 |
| 1013103050 | Stellis Health, Pa | Clinic/Center | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2007-09-24 |
| 1487656344 | Mark D Nelson | Podiatrist | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1467994962 | Jessica Borgstrom | Advanced Practice Midwife | 1001 Hart Blvd #100, Monticello, MN 55362 | 2016-11-15 |
| 1972922078 | Ashby Optometry PC | Optometrist | 1447 East 7th Street, Monticello, MN 55362 | 2014-04-16 |
| 1740612621 | Sarah Rowe | Physical Therapist | 1260 Mn-25, Monticello, MN 55362 | 2013-08-02 |
| 1144573775 | Kelley M Mcgowan | Physical Therapist | 211 Hwy 25, Monticello, MN 55362 | 2012-10-19 |
| 1275801581 | Roger William Hedtke | Pharmacist | 135 East Broadway, Monticello, MN 55362 | 2011-12-01 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1265768220 | Back 2 Health Chiropractic, P.a. | Chiropractor | 1125 South Cedar St, Suite 109, Monticello, MN 55362 | 2009-10-27 |
| 1538328059 | Lakeland Family Dental | Dentist | 106 Broadway Street East, Monticello, MN 55362 | 2008-06-09 |
| 1205038163 | Buffalo Dental Center | Dentist | 106 1 In A Half W Broadway, Monticello, MN 55362 | 2007-06-04 |
| Find all providers in zip 55362 | ||||
| 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 |
|---|---|---|---|---|
| 1720170533 | Donald Duane Stoner | Physician Assistant | 60 Jefferson St Ste 3, Hudson River Healthcare, Inc., Monticello, NY 12701-1131 | 2006-09-29 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1124019286 | Laura Patricia Lee | Physician Assistant | 1111 N State St, Monticello, IL 61856-1151 | 2005-10-28 |
| 1871586891 | Jennifer Thornell | Physician Assistant | 38 Concord Rd, Monticello, NY 12701-3210 | 2005-08-24 |
| 1487646337 | Blen Arlow Freestone | Physician Assistant | 364 W 100 N, Monticello, UT 84535-1054 | 2005-08-17 |
| 1013499367 | Kathryn Ann Alvarez | Physician Assistant | 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 | 2018-09-04 |
| 1609357524 | Nicole Marie Fox | Physician Assistant | 380 West 100 North, Monticello, UT 84535 | 2018-08-28 |
| 1053853234 | St Luke's Jones Regional Medical Center | Physician Assistant | 740 E Oak St, Monticello, IA 52310-1745 | 2016-11-05 |
| 1619421518 | Justyna Pachowska | Physician Assistant | 110 Bridgeville Rd, Monticello, NY 12701-3829 | 2016-08-09 |
| 1942670930 | Mississippi Em-i Medical Serives PC | Physician Assistant | 1065 E Broad St, Monticello, MS 39654-7703 | 2015-10-02 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 55362 |
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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.