RICHARD BRUCE KOFFEND (NPI# 1669647269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669647269 |
| Entity Type | Individual |
| Full Name | RICHARD BRUCE KOFFEND |
| Credential | PA-C |
| Practice Address |
1223 S Gear Ave Ste 109 West Burlington IA 52655-1685 |
| Practice Telephone | 3197544004 |
| Practice Fax Number | 3197535498 |
| Mailing Telephone | 3197544004 |
| Mailing Fax Number | 3197535498 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000613 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1223 S GEAR AVE STE 109 |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| 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 |
|---|---|---|---|---|
| 1114425873 | Allison Nunez | Physician Assistant | 1223 S Gear Ave Ste 108, West Burlington, IA 52655-1685 | 2018-01-29 |
| 1154975407 | Emily Tinguely | Physician Assistant | 1225 S Gear Ave Ste 255, West Burlington, IA 52655-1687 | 2019-07-25 |
| 1659841690 | Andrew Robert Klein | Physician Assistant | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-12-03 |
| 1104293158 | Wyatt Dale Baxter | Physician Assistant | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2015-08-25 |
| 1205074267 | Mary Catherine Bentler | Physician Assistant | 1225 S Gear Ave, Suite 153, West Burlington, IA 52655-1691 | 2009-01-29 |
| 1821254863 | Amy Joann John | Physician Assistant | 1225 S Gear Ave Ste 252, West Burlington, IA 52655-1687 | 2008-07-30 |
| 1467639179 | Kathy Ibeth Rashid | Physician Assistant | 1201 W Agency Rd, West Burlington, IA 52655-1645 | 2008-01-24 |
| 1912022773 | Puneet Gupta | Physician Assistant | 1225 S Gear Ave, Ste 254, West Burlington, IA 52655-1691 | 2007-03-20 |
| 1023063963 | Orthopedics & Sports Medicine Plc | Physician Assistant | 1223 S Gear Ave, Eastman Plaza-suite 101, West Burlington, IA 52655-1682 | 2006-05-22 |
| 1154375731 | Jameson Orthopedic Clinic PC | Physician Assistant | 1225 S Gear Ave, Suite 159, West Burlington, IA 52655-1691 | 2006-05-19 |
| Find all providers in WEST BURLINGTON | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.