ELIZABETH KELLEY WEGNER-BUSCH (NPI# 1679728380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679728380 |
| Entity Type | Individual |
| Full Name | ELIZABETH KELLEY WEGNER-BUSCH |
| Credential | PA-C |
| Practice Address |
4101 Anderson Ave Manhattan KS 66503-7588 |
| Practice Telephone | 7855874101 |
| Practice Fax Number | 7855879090 |
| Mailing Telephone | 7855874101 |
| Mailing Fax Number | 7855879090 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1501273 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 930 Hayes Dr, Suite B, Manhattan, KS 665025721 | 7855650016 | 7855650003 |
| Street Address |
4101 ANDERSON AVE |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66503-7588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700831443 | Heather R Brazzle | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-05-23 |
| 1184167645 | Michelle Oehm | Nurse Practitioner | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2016-11-30 |
| 1427457597 | Lacey Schuckman | Nurse Practitioner | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2014-08-14 |
| 1750675724 | Bethany A Duff | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2011-06-07 |
| 1083842793 | Andrew Pope | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2009-07-01 |
| 1720216708 | Melissa K Rosso | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2009-06-29 |
| 1881738052 | Danelle L Perry | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2007-02-19 |
| 1265533384 | Tricia D Gill | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-09-25 |
| 1093828097 | Stonecreek Family Physicians, LLP | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-08-16 |
| 1285673087 | Kevin K Wall | Family Medicine | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023325552 | Jason Michael Harader | Audiologist | 4201 Anderson Avenue, Bldg. C, Manhattan, KS 66503 | 2010-09-03 |
| 1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
| 1013163211 | Majdy Ali A. Albahhar | Dermatology | 4201 B Anderson Avenue, Suite 2, Manhattan, KS 66503 | 2008-08-07 |
| 1972783405 | Erin Nichole Mellies | Counselor | 222 Southwind Pl, Manhattan, KS 66503 | 2007-11-13 |
| 1912067695 | Stoneybrook Nursing Facility Operations, LLC | Skilled Nursing Facility | 2025 Little Kitten Ave, Manhattan, KS 66503 | 2006-12-11 |
| 1144249145 | Ellen Odette Remsing | Dental Assistant | 4201 A Anderson Avenue, Manhattan, KS 66503 | 2006-07-19 |
| 1659332195 | Charles Louis Klobasa | Psychiatry & Neurology | 225 Southwind Place, Manhattan, KS 66503 | 2006-03-31 |
| 1346233657 | Frank C Lyons Jr. | Legal Medicine | 4809 Vue Du Loc, Suite 101, Manhattan, KS 66503 | 2005-08-23 |
| 1932102381 | Tiffany Nicole Engelken | Nurse Practitioner | 4201 Anderson Ave Ste B2, Manhattan, KS 66503 | 2005-05-31 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| Find all providers in zip 66503 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290515 | Linda Niyazov | Physician Assistant | 1st Avenue 16street, Beth Israel Medical Center, Manhattan, NY 10003 | 2010-07-21 |
| 1225162589 | Manhattan Medical Services | Physician Assistant | 207 S 6th St, Manhattan, MT 59741 | 2007-03-16 |
| 1790782100 | Sarah E. Scott | Physician Assistant | 1105 Sunset Ave, Manhattan, KS 66502-3739 | 2005-06-30 |
| 1851608418 | Lindsay M Ruder | Physician Assistant | 200 Research Dr, Manhattan, KS 66503-3049 | 2010-09-02 |
| 1497908388 | Brandon Seef | Physician Assistant | 540 W North St, Suites 206/207, Manhattan, IL 60442-8201 | 2008-10-23 |
| 1730270398 | Beth Hartenstein Tolentino | Physician Assistant | 1823 College Ave, Manhattan, KS 66502-3381 | 2006-09-27 |
| 1265533384 | Tricia D Gill | Physician Assistant | 4101 Anderson Ave, Manhattan, KS 66503-7588 | 2006-09-25 |
| 1598869992 | Erin E. Thornton | Physician Assistant | 1640 Charles Pl, Suite 103, Manhattan, KS 66502-0428 | 2006-09-07 |
| 1790729630 | Robert J Starnes | Physician Assistant | 1213 Hylton Heights Rd, Suite 101, Manhattan, KS 66502-2810 | 2006-06-15 |
| 1619953809 | Brenda Avery | Physician Assistant | 1133 College Ave, Bldg E Suite 140, Manhattan, KS 66502-2770 | 2005-12-20 |
| Find all providers in MANHATTAN | ||||
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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.