PAETON MOYLE


Address: 2805 5th St, Rapid City, SD 57701-6003
Phone: 6057555700

PAETON MOYLE (NPI# 1225595911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225595911
Entity Type Individual
Full Name PAETON MOYLE
Other Name PAETON LARSON
Credential PA-C
Practice Address 2805 5th St
Rapid City
SD 57701-6003
Mailing Address 5713 Bendt Dr
Rapid City
SD 57702-9618
Practice Telephone 6057555700
Mailing Telephone 6053937051
Enumeration Date 2019-02-28
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1181 SD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2805 5TH ST
City RAPID CITY
State SD
Zip Code 57701-6003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003815804 Keith G Bryson Urology 2805 5th St, Suite 100, Rapid City, SD 57701-6003 2005-07-14
1922643642 Elizabeth Rose Stamper Nurse Practitioner 2805 5th St, Rapid City, SD 57701-6003 2019-11-18
1932744554 Trista Marie Borgwardt Nurse Practitioner 2805 5th St, Rapid City, SD 57701-6003 2019-11-07
1023678307 William Ashton Mcguire Physician Assistant 2805 5th St, Rapid City, SD 57701-6003 2019-06-18
1861968869 Julia Carrie Skelton Nurse Practitioner 2805 5th St, Rapid City, SD 57701-6003 2018-10-17
1407365901 Jordan Dean Heins Physician Assistant 2805 5th St, Rapid City, SD 57701-6003 2017-09-27
1023537263 Natasha Gray Nurse Practitioner 2805 5th St, Rapid City, SD 57701-6003 2017-09-19
1639535875 Rapid City Regional Hospital Inc Durable Medical Equipment & Medical Supplies 2805 5th St, Suite 100, Rapid City, SD 57701-6003 2016-01-04
1871972794 Monument Health Rapid City Hospital, Inc. Clinic/Center 2805 5th St, Rapid City, SD 57701-6003 2015-05-26
1669850244 Monument Health Rapid City Hospital. Inc. Clinic/Center 2805 5th St, Rapid City, SD 57701-6003 2015-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114551447 Eugenie Coleman Physician Assistant 2510 Arrow St, Rapid City, SD 57702-4306 2020-02-25
1114395597 Stacy Danielson Physician Assistant 1818 W Fulton St Ste 102, Rapid City, SD 57702-4347 2015-09-02
1487058293 Brittany Ann Rieman Physician Assistant 2805 5th Street, Suite 100, Rapid City, SD 57701 2014-10-22
1174775928 Tricia Hoffman Physician Assistant 717 Saint Francis Street, Rapid City, SD 57701 2008-10-10
1104087709 David Allen Cohen Physician Assistant 101 E Minnesota St Ste 210, Rapid City, SD 57701-7758 2008-06-17
1023126810 Angela M Okroi Physician Assistant 28 Medical Group, 2900 Doolittle Dr Ellsworth Afb Sd, Rapid City, SD 57702 2006-08-29
1851303358 Maria Celeste Ramos Physician Assistant 2016 2nd Ave, Rapid City, SD 57702-3322 2006-08-12
1700821162 Devon Graham Physician Assistant 2116 Jackson Blvd, Rapid City, SD 57702-4386 2006-06-19
1619919503 Edward P Vopat Physician Assistant 2201 Jackson Blvd, 100, Rapid City, SD 57702-4386 2006-06-12
1891786166 Wendy Peterson Physician Assistant 1730 Haines Ave, Rapid City, SD 57701-0615 2005-11-04
Find all providers in RAPID CITY

Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

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.

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