CYNTHIA J BAST (NPI# 1083706873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083706873 |
| Entity Type | Individual |
| Full Name | CYNTHIA J BAST |
| Credential | PAC |
| Practice Address |
2310 Crestview Dr Hudson WI 54016 |
| Mailing Address |
403 Stageline Rd Hudson WI 54016 |
| Practice Telephone | 7155316802 |
| Practice Fax Number | 7155316803 |
| Mailing Telephone | 7155316800 |
| Mailing Fax Number | 7155316801 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1220 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 122023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 9534 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2310 CRESTVIEW DR |
| City | HUDSON |
| State | WI |
| Zip Code | 54016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407869118 | William J Weber | Pharmacist | 2310 Crestview Dr, Hudson, WI 54016 | 2006-08-14 |
| 1316102734 | Hudson Physicians, S.c. | Clinic/Center | 2310 Crestview Dr, Hudson, WI 54016-9315 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| 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 |
|---|---|---|---|---|
| 1285234914 | Austin Ethridge | Physician Assistant | 22101 County Road 22, Hudson, CO 80642-9514 | 2020-10-30 |
| 1194234187 | James Jordan Hanshew | Physician Assistant | 18300 Treehave Drive, Hudson, FL 34667-6391 | 2017-09-22 |
| 1942750237 | Jessica Anne Bussey | Physician Assistant | 14153 Yosemite Dr Ste 101, Hudson, FL 34667-8062 | 2016-10-11 |
| 1326488180 | Ashley Greenfield | Physician Assistant | 14100 Fivay Rd Ste 280, Hudson, FL 34667-7150 | 2013-06-26 |
| 1316214463 | Jerry G. Cardillo | Physician Assistant | 234 Washington Street, Hudson, MA 01749-3735 | 2011-11-17 |
| 1255597993 | Judith Anne Hantl | Physician Assistant | 13109 Titleist Dr, Hudson, FL 34669-2411 | 2008-08-01 |
| 1639385131 | Amy Meggan Pinkham | Physician Assistant | 4 Main St., Apt. 2, Hudson, MA 01749-2109 | 2007-05-14 |
| 1508819897 | Marc A Alessandroni | Physician Assistant | 10201 State Road 52, Hudson, FL 34669-3071 | 2006-05-18 |
| 1750343422 | Raymond H Wawrowski | Physician Assistant | 5700 Darrow Road, Suite 106, Hudson, OH 44236 | 2006-04-06 |
| 1790788735 | Melissa Inzenga | Physician Assistant | 208 Robinson Rd., Hudson, NH 03051 | 2005-05-23 |
| Find all providers in HUDSON | ||||
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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.