MRS. PAIGE STANZEL (NPI# 1003420100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003420100 |
| Entity Type | Individual |
| Full Name | MRS. PAIGE STANZEL |
| Credential | PA |
| Practice Address |
610 Jefferson St Waterloo NE 68069-2212 |
| Practice Telephone | 4026583150 |
| Mailing Telephone | 4026583150 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2524 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PHYSICIAN ASSISTANT STATE LICENSE | 2524 | 01 |
| Street Address |
610 JEFFERSON ST |
| City | WATERLOO |
| State | NE |
| Zip Code | 68069-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265596183 | Waterloo Fire Department | Ambulance | 4th & North Front St, Waterloo, NE 68069 | 2006-12-22 |
| 1265649131 | Cynthia S Meier | Counselor | 201 3rd Street, Waterloo, NE 68069-0279 | 2007-05-17 |
| 1194042788 | Waterloo Fire and Rescue | Ambulance | 405 7th St, Waterloo, NE 68069-2245 | 2010-04-23 |
| 1649804451 | Carnahan Pediatric Therapy, LLC | Physical Therapist | 800 N Front St Ste 510, Waterloo, NE 68069-2249 | 2020-03-02 |
| 1245361260 | Carl F Dorner IIi | Counselor | 23506 F St # 5, Waterloo, NE 68069-4209 | 2007-03-08 |
| 1568076594 | Michelle Ann Tsatsos | Speech-Language Pathologist | 24918 Mason St, Waterloo, NE 68069-4434 | 2020-09-08 |
| 1134408321 | Kristin Jean Korth | Occupational Therapist | 134 N 248th Cir, Waterloo, NE 68069-4690 | 2011-08-05 |
| 1356885024 | Pro Care Mental Health Inc | Nurse Practitioner | 421 S 243rd St, Waterloo, NE 68069-4704 | 2016-12-14 |
| 1770838997 | Lezli Mantzaris | Counselor | 1314 S 258th St, Waterloo, NE 68069-4814 | 2012-07-14 |
| 1285940791 | Richard M Buttner Dpt PC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24325 Howard Cir, Waterloo, NE 68069-4839 | 2010-08-20 |
| Find all providers in zip 68069 | ||||
| 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 |
|---|---|---|---|---|
| 1013979079 | Shanon Dione Bennett | Physician Assistant | 1731 W Ridgeway Ave Ste 100, Waterloo, IA 50701-4591 | 2006-04-05 |
| 1134180870 | Mary Margaret Heatley | Physician Assistant | 2515 Cyclone Dr Ste B, Waterloo, IA 50701 | 2006-03-31 |
| 1306829775 | Jessica M Wachtel | Physician Assistant | 509 Hamacher Street, Suite 102, Waterloo, IL 62298 | 2005-11-21 |
| 1902893779 | Michelle B Nepple | Physician Assistant | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2005-10-05 |
| 1164421954 | Heidi M Bonthuis | Physician Assistant | 905 Franklin St, Waterloo, IA 50703-4407 | 2005-07-14 |
| 1871120147 | Carolyn Anna Steenhoek | Physician Assistant | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-03-25 |
| 1346784675 | Associated Physicians Group Ltd | Physician Assistant | 509 Hamacher St, Suite 202, Waterloo, IL 62298-1592 | 2016-12-06 |
| 1760774749 | Lynn Renee Day | Physician Assistant | 220 Southbrooke Dr, Waterloo, IA 50702-5802 | 2011-05-09 |
| 1578791570 | Andrea Leigh Hansen | Physician Assistant | 1825 Logan Ave, Emergency Department, Waterloo, IA 50703-1916 | 2009-06-29 |
| 1841434313 | Rebecca L. Chittenden | Physician Assistant | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2009-04-28 |
| Find all providers in WATERLOO | ||||
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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.