MICHELLE L BROKES (NPI# 1972798353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972798353 |
| Entity Type | Individual |
| Full Name | MICHELLE L BROKES |
| Credential | P.A.-C |
| Practice Address |
1602 N Aylward Ave Ellsworth KS 67439-2541 |
| Mailing Address |
1602 N Aylward Ave Po Box 103 Ellsworth KS 67439-2541 |
| Practice Telephone | 7854723111 |
| Practice Fax Number | 7854725731 |
| Mailing Telephone | 7854723111 |
| Mailing Fax Number | 7854725731 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2009-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | T01546 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200548240C | 05 | |
| KS | STATE LICENSE | T01546 | 01 |
| Street Address |
1602 N AYLWARD AVE |
| City | ELLSWORTH |
| State | KS |
| Zip Code | 67439-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593475 | Ronald Ned Whitmer | Family Medicine | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-26 |
| 1568753820 | Katie M Mcwilliams | General Practice | 1602 N Aylward Ave, Ellsworth, KS 67439 | 2011-04-21 |
| 1962737072 | Emily S Lindsley | Nurse Practitioner | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2009-10-07 |
| 1972504546 | Ellsworth County Medical Center | Family Medicine | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-08-09 |
| 1609877398 | Ellsworth Medical Clinic | Family Medicine | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-08-03 |
| 1114927654 | Shawn Aaron Mcgowan | Physician Assistant | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| 1467452904 | Jerzy Slomka | Family Medicine | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| 1134129653 | Christena Hanson | Physician Assistant | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| 1508866047 | Dennis Joseph Kepka | Family Medicine | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639555634 | Karen Kobs | Pharmacist | 1105 E 15th, Ellsworth, KS 67439 | 2015-08-03 |
| 1629281431 | Cheryl Ann Rathbun | Social Worker | 1295 Hwy 14, Ellsworth, KS 67439 | 2007-05-08 |
| 1134165855 | Wayne Keith Wallert | Chiropractor | 307 Webb, Ellsworth, KS 67439 | 2006-06-21 |
| 1609918523 | Kyle Gwinner Od LLC | Optometrist | 801 E 3rd St, Ellsworth, KS 67439-0339 | 2007-02-14 |
| 1255889192 | Oak Creek Chiropractic, LLC. | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1386192227 | Lindsey Warta | Chiropractor | 519 Prairie Ln, Ellsworth, KS 67439-1504 | 2016-09-20 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1841436052 | Teasha Lee Choitz | Occupational Therapy Assistant | 1113 State St, Ellsworth, KS 67439-2144 | 2008-12-18 |
| 1275595290 | Mark A. Herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2006-04-05 |
| 1487992004 | Mark A.herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2013-01-17 |
| Find all providers in zip 67439 | ||||
| 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 |
|---|---|---|---|---|
| 1659994317 | Brynia Marie Westra | Physician Assistant | 50 Union St Ste 2300, Ellsworth, ME 04605-1534 | 2020-05-28 |
| 1023466562 | Jesse R Cloutier | Physician Assistant | 50 Union St, Suite 2100, Ellsworth, ME 04605-1534 | 2016-05-25 |
| 1740544626 | Craig A Hardy | Physician Assistant | 50 Union St, Ellsworth, ME 04605-1534 | 2012-06-26 |
| 1861706681 | Bradley Kent Lindstrom Jr. | Physician Assistant | 50 Union St, Ellsworth, ME 04605-1599 | 2010-08-04 |
| 1952538969 | Hilary Heron Hudson | Physician Assistant | 50 Union St, Ellsworth, ME 04605-1534 | 2009-06-17 |
| 1851543698 | Lisa M Allen | Physician Assistant | 32 Resort Way, Maine Coast Pediatrics, Ellsworth, ME 04605-1717 | 2008-10-10 |
| 1255340790 | James G Grossman | Physician Assistant | 32 Resort Way, Ellsworth, ME 04605 | 2006-08-05 |
| 1831128990 | Everett Steinbarger | Physician Assistant | 50 Union Street, Suite 2200, Ellsworth, ME 04605 | 2006-07-01 |
| 1114927654 | Shawn Aaron Mcgowan | Physician Assistant | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| 1134129653 | Christena Hanson | Physician Assistant | 1602 N Aylward Ave, Ellsworth, KS 67439-2541 | 2005-07-27 |
| Find all providers in ELLSWORTH | ||||
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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.