BRETT GLIEM (NPI# 1982003174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982003174 |
| Entity Type | Individual |
| Full Name | BRETT GLIEM |
| Credential | PA-C, ATC |
| Practice Address |
300 Utah St Hiawatha KS 66434-2314 |
| Practice Telephone | 7857422131 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2400833 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | 15-02142 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10730 Nall Ave, Suite 200, Overland Park, KS 662111366 | 7122690789 |
| Street Address |
300 UTAH ST |
| City | HIAWATHA |
| State | KS |
| Zip Code | 66434-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321628 | David Eugene Lundquest | Pathology | 300 Utah St, Hiawatha, KS 66434-2314 | 2005-07-27 |
| 1780299693 | Dana L Lueger | Dietitian, Registered | 300 Utah St, Hiawatha, KS 66434-2314 | 2020-09-09 |
| 1649885401 | Marcia R Rottinghaus | Registered Nurse | 300 Utah St, Hiawatha, KS 66434-2314 | 2020-09-09 |
| 1518572395 | Hiawatha Hospital Association Inc | Nutritionist | 300 Utah St, Hiawatha, KS 66434-2314 | 2020-09-09 |
| 1598261901 | Zane Hoffman | Pharmacist | 300 Utah St, Hiawatha, KS 66434-2314 | 2018-04-04 |
| 1073040622 | Holly Kuckelman | Dietitian, Registered | 300 Utah St, Hiawatha, KS 66434-2314 | 2017-05-15 |
| 1225581812 | Johannah Schrader | Dietitian, Registered | 300 Utah St, Hiawatha, KS 66434-2314 | 2016-07-29 |
| 1225403868 | Orthopedic & Sports Medicine Center, LLC | Orthopaedic Surgery | 300 Utah St, Hiawatha, KS 66434-2314 | 2015-12-08 |
| 1083019665 | Jean Abeita | Pharmacist | 300 Utah St, Hiawatha, KS 66434-2314 | 2014-10-25 |
| 1013338342 | Danielle A Jagels | Nurse Practitioner | 300 Utah St, 2nd Floor, Hiawatha, KS 66434-2314 | 2014-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970739 | Lily Ann Mccarty | Technician | 200 Iowa St, Hiawatha, KS 66434 | 2019-09-06 |
| 1710498704 | June Marie Gerety | Speech-Language Pathologist | 201 S 4th St., Hiawatha, KS 66434 | 2017-10-17 |
| 1609205160 | Kaitlin Meade | Counselor | 990 S. 2nd St., Hiawatha, KS 66434 | 2013-11-05 |
| 1588003883 | Maggie Ryan Gilliland | Psychologist | 902 S. 2nd Street, Hiawatha, KS 66434 | 2013-06-19 |
| 1942464862 | Thomas J Toland | Psychologist | 909 2nd Street, Hiawatha, KS 66434 | 2008-07-10 |
| 1336329556 | Quest Services, Inc. | Intermediate Care Facility, Mentally Retarded | 402 Miami, Hiawatha, KS 66434 | 2007-11-05 |
| 1679630610 | Hiawatha Hospital Association Inc | Family Medicine | 300 Utah St Fl 2, Hiawatha, KS 66434 | 2007-01-02 |
| 1649364704 | Amy Louise Havens Lower | Optometrist | 109 S 6th St # A, Hiawatha, KS 66434 | 2006-10-03 |
| 1720198484 | Searight Family Practice, Pa | Family Medicine | 313 Utah Street, Hiawatha, KS 66434 | 2006-08-30 |
| 1659343671 | Lowell R Searight | Family Medicine | 313 Utah St, Hiauatha, KS 66434 | 2006-02-03 |
| Find all providers in zip 66434 | ||||
| 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 |
|---|---|---|---|---|
| 1841381522 | Jodi M Twombly | Physician Assistant | 300 Utah, 2nd Floor, Hiawatha, KS 66434-2314 | 2006-09-27 |
| 1184619611 | Angela D Dolphin | Physician Assistant | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2005-09-12 |
| 1801370150 | Heather Michelle Gliem | Physician Assistant | 300 Utah St Fl 2, Hiawatha, KS 66434-2314 | 2018-09-22 |
| 1730532466 | Erica Anne Craw | Physician Assistant | 400 S Blairsferry Xing, Suite A, Hiawatha, IA 52233-7988 | 2016-07-18 |
| 1174752927 | Abbie M. Port | Physician Assistant | 400 S Blairsferry Xing, Suite A, Hiawatha, IA 52233-7988 | 2009-07-14 |
| 1396723557 | Dawn M Millard | Physician Assistant | 400 S Blairsferry Xing, Hiawatha, IA 52233-7986 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567783 | Shelby Stewart | Physician Assistant | 1409 Washington Cir, Hays, KS 67601-4716 | 2020-10-27 |
| 1154935724 | Kendra Elizabeth Rogers | Physician Assistant | 8111 Quivira Rd Apt 12106, Lenexa, KS 66215-2772 | 2020-09-01 |
| 1962020024 | Cody Allen Miller | Physician Assistant | 7201 W 80th St Apt 602, Overland Park, KS 66204-3773 | 2020-07-06 |
| 1881210417 | Jordan Rachelle Haya | Physician Assistant | 607 Prairie Ave, Maple Hill, KS 66507-9808 | 2020-06-19 |
| 1881219483 | Sheila Mwadime | Physician Assistant | 10245 Millstone Dr Apt 7110, Lenexa, KS 66220-2711 | 2020-06-10 |
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1194348706 | Andrew John Lopata | Physician Assistant | 1315 N Walnut St, Mcpherson, KS 67460-2434 | 2020-05-19 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1033731674 | Sydnee Rose Eck | Physician Assistant | 345 Sevy, Andale, KS 67001-4003 | 2020-05-16 |
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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.