MALLORY HAAS (NPI# 1447617949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447617949 |
| Entity Type | Individual |
| Full Name | MALLORY HAAS |
| Credential | PA-C |
| Practice Address |
516 W 14th Ave Suite 100 Holdrege NE 68949-1215 |
| Practice Telephone | 3089954431 |
| Practice Fax Number | 3089953247 |
| Mailing Telephone | 3089954431 |
| Mailing Fax Number | 3089953247 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1132481 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
516 W 14TH AVE SUITE 100 |
| City | HOLDREGE |
| State | NE |
| Zip Code | 68949-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972548477 | Scott Michael Ehresman | Family Medicine | 516 W 14th Ave, Ste 100, Holdrege, NE 68949-1216 | 2006-06-18 |
| 1508427857 | Northland Hearing Centers, Inc. | Clinic/Center | 516 W 14th Ave, Holdrege, NE 68949-1215 | 2019-06-27 |
| 1104485200 | Jordon Potthoff | Physical Therapist | 516 W 14th Ave, Holdrege, NE 68949-1215 | 2019-06-12 |
| 1851786537 | Stephanie Muhlbach | Physician Assistant | 516 W 14th Ave, Suite100, Holdrege, NE 68949-1215 | 2015-03-31 |
| 1790180263 | Sarah L Bader | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2014-10-27 |
| 1598165417 | Robert France | Physical Therapist | 516 W 14th Ave, Suite 200, Holdrege, NE 68949-1215 | 2014-08-27 |
| 1801145842 | Madison Marie Nott | Physician Assistant | 516 W 14th Ave, Suite 100, Holdrege, NE 68949-1215 | 2012-09-06 |
| 1689979684 | Katie M Brooks | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2011-01-21 |
| 1174756449 | Molly Ann Alexander | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2009-09-02 |
| 1568691368 | Christine M Ridder | Physical Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623354 | Wells Health PC | Chiropractor | 502 4th Ave., Holdrege, NE 68949 | 2013-04-12 |
| 1841568722 | Mileah A. Panter | Nurse Practitioner | Phelps Medical Group, 1315 Tibbals Street, Holdrege, NE 68949 | 2011-12-07 |
| 1386706984 | Grant Joel Hinze | Dentist | 725 Burlington, Holdrege, NE 68949 | 2006-12-14 |
| 1407922388 | Timothy Wade Fuehrer | Chiropractor | 812 4th Avenue, Holdrege, NE 68949 | 2006-11-24 |
| 1730271537 | South Central Behavioral Services | Clinic/Center | 701 4th Avenue, Suite 11a, Holdrege, NE 68949 | 2006-09-29 |
| 1396851572 | Douglas Mark Hohman | Dentist | 1223 Hill St, Holdrege, NE 68949 | 2006-08-21 |
| 1528004231 | Charlotte A Wirges | Family Medicine | 1315 Tibbals Street, Holdrege, NE 68949 | 2006-06-21 |
| 1962473835 | Great Plains Surgery PC | Surgery | 1138 Miller Street, Holdrege, NE 68949 | 2006-01-30 |
| 1104209337 | Kathryn Thelen | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949 | 2015-07-07 |
| 1023104114 | South Central Behavioral Services | Clinic/Center | 701 4th Avenue, Suite 11a, Holdrege, NE 68949 | 2006-10-05 |
| Find all providers in zip 68949 | ||||
| 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 |
|---|---|---|---|---|
| 1639442262 | Katie Lynne Luthy | Physician Assistant | 516 West 14th Avenue, Suite 100, Holdrege, NE 68949-1216 | 2012-02-13 |
| 1568018711 | Phelps Memorial Health Center | Physician Assistant | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2019-08-14 |
| 1851786537 | Stephanie Muhlbach | Physician Assistant | 516 W 14th Ave, Suite100, Holdrege, NE 68949-1215 | 2015-03-31 |
| 1801145842 | Madison Marie Nott | Physician Assistant | 516 W 14th Ave, Suite 100, Holdrege, NE 68949-1215 | 2012-09-06 |
| 1386819084 | Connie E. Lans | Physician Assistant | 516 W 14th Ave, Suite 100, Holdrege, NE 68949-1215 | 2008-04-24 |
| 1831216936 | Amy J Farlee | Physician Assistant | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2007-03-23 |
| 1083650790 | Charles D Christie | Physician Assistant | 516 W 14th Ave, Ste 100, Holdrege, NE 68949-1216 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1851917181 | Connor Evan Bliss | Physician Assistant | 2908 W 39th St Ste D, Kearney, NE 68845-1245 | 2020-06-23 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1659901601 | Jordan Marie Morris | Physician Assistant | 821 Bordeaux St, Chadron, NE 69337-2614 | 2020-01-17 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
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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.