Nathan J Nistler (NPI# 1174775514, PAC ID# 0042375792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174775514 |
| PAC ID by PECOS | 0042375792 |
| Professional Enrollment ID | I20090213000116 |
| Full Name | Nathan J Nistler |
| Organization Legal Name | SUMMIT ORTHOPEDICS LTD |
| Address |
1661 Saint Anthony Ave Saint Paul MN 55104-3733 |
| Phone Number | 6519685335 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921900374 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240213 | HEALTHEAST WOODWINDS HOSPITAL |
| 240063 | ST JOSEPH'S HOSPITAL |
| 240038 | ALLINA UNITED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 6519685335 | SUMMIT ORTHOPEDICS LTD |
| 2090 Woodwinds Dr, Suite 250, Saint Paul, MN 55125-2522 | 6519685201 | SUMMIT ORTHOPEDICS LTD |
| 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 6519685770 | SUMMIT ORTHOPEDICS LTD |
| 3580 Arcade St, Suite 200, Vadnais Heights, MN 55127-7135 | 6519685790 | SUMMIT ORTHOPEDICS LTD |
| 2090 Woodwinds Dr, Woodbury, MN 55125-2522 | 6519685801 | SUMMIT ORTHOPEDICS LTD |
| Organization Legal Name | SUMMIT ORTHOPEDICS LTD |
| Physicians | 198 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Mayernik | Physical Therapy | Summit Orthopedics Ltd | 4123 Radio Dr, Woodbury, MN 55129-3303 |
| Allyce Katherine Fisk | Physician Assistant | Summit Orthopedics Ltd | 146 N Lake St, Forest Lake, MN 55025-2518 |
| Robert J Herdzina | Physical Therapy | Summit Orthopedics Ltd | 3580 Arcade St, Vadnais Heights, MN 55127-7135 |
| Gregory Rife | Occupational Therapy | Summit Orthopedics Ltd | 10230 Baltimore St Ne, Blaine, MN 55449-4674 |
| Peter J Daly | Orthopedic Surgery | Summit Orthopedics Ltd | 2090 Woodwinds Dr, Woodbury, MN 55125-2522 |
| Grayson W Blomberg | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| John M Rozman | Nurse Practitioner | Summit Orthopedics Ltd | 15700 37th N Ave, Suite 150, Plymouth, MN 55446-3675 |
| Anne V Merrill | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Edward Tzuen-chien Su | Hand Surgery | Summit Orthopedics Ltd | 3580 Arcade St, Suite 200, Vadnais Heights, MN 55127-7135 |
| Heide Sue Slinde Baker | Physical Therapy | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Street Address |
1661 SAINT ANTHONY AVE |
| City | SAINT PAUL |
| State | MN |
| Zip | 55104-3733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grayson W Blomberg | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Anne V Merrill | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Heide Sue Slinde Baker | Physical Therapy | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Julie Rezac | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Alexi Dee Bopray | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Curtis A Johnson | Physical Therapy | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Tara Christine Barrack | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Rachel M Silbert | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Nathan C Clapper | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Megan B Naas | Physician Assistant | Summit Orthopedics Ltd | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta Mary Singerhouse | Psychologist, Clinical | 570 Asbury St, Suite 206, Saint Paul, MN 55104-1850 | |
| Margaret Charity Charmoli | Psychologist, Clinical | 570 Asbury St, Suite 202a, Saint Paul, MN 55104-1850 | |
| Carla J Breunig | Chiropractic | 570 Asbury St, Suite 108, Saint Paul, MN 55104-1852 | |
| Susan M Eckfeldt | Psychologist, Clinical | 570 Asbury St, Suite 205a, Saint Paul, MN 55104-1857 | |
| Jennifer S Keesey | Chiropractic | 1158 Thomas Ave, Saint Paul, MN 55104-2165 | |
| Vang T Chang | Clinical Social Worker | 1821 University Ave W, Suite S303, Saint Paul, MN 55104-2813 | |
| Kayeann Margaret Mason | Clinical Social Worker | 625 Snelling Ave N, Suite 5, Saint Paul, MN 55104-2878 | |
| Kandee K Timmerman | Clinical Social Worker | Willow Tree Healing Center, LLC | 1821 University W Ave, S329, Saint Paul, MN 55104-2881 |
| Tracey L Wilkins | Clinical Social Worker | Willow Tree Healing Center, LLC | 1821 University W Ave, S329, Saint Paul, MN 55104-2881 |
| Hilary L Mueller | Clinical Social Worker | Willow Tree Healing Center, LLC | 1821 University W Ave, S329, Saint Paul, MN 55104-2881 |
| Find all physicians in zip 55104 | |||
| City | SAINT PAUL |
| Zip Code | 55104 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT PAUL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nathan J Nistler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.