MR. JAMES CARL KISNER JR. (NPI# 1750347191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750347191 |
| Entity Type | Individual |
| Full Name | MR. JAMES CARL KISNER JR. |
| Credential | PA - C |
| Practice Address |
245 Governors Dr Se Huntsville AL 35801-2700 |
| Mailing Address |
Po Box 2705 Huntsville AL 35804-2705 |
| Practice Telephone | 2562658553 |
| Mailing Telephone | 2562655864 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.708 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04005 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2485 Gillingham Dr, Brooks City-base, TX 78235 | 2105366946 |
| Street Address |
245 GOVERNORS DR SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435398 | Wilfredo I Vergara | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2005-08-24 |
| 1912518861 | Tyler Joe Fadorsen | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-13 |
| 1184234676 | Brianna Michelle Moultrie | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-09 |
| 1518583996 | Laura Beth Rouse | Nurse Anesthetist, Certified Registered | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-06-22 |
| 1528687035 | Jamie Hunter | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-04-14 |
| 1366077562 | Santrice Pleasant | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-03-08 |
| 1255964425 | Sarah Heimsness Davis | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-17 |
| 1750914065 | Jeanette Olivia Craven | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-14 |
| 1356989784 | Amy Hall | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-12-17 |
| 1578109781 | Lauren Anne Higginbotham | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083095962 | Lloyd Aschberger | Physician Assistant | 295 Interstate 45 S, Huntsville, TX 77340-4903 | 2015-06-16 |
| 1992100663 | Charles Allen Nagel | Physician Assistant | 534 Fm 2550 Rd, Huntsville, TX 77320-1971 | 2014-10-23 |
| 1801916556 | Michael Robert Ruttle | Physician Assistant | 2507 Lake Rd # 2, Huntsville, TX 77340-5735 | 2007-03-29 |
| 1508935271 | Lanita Reid | Physician Assistant | 2325 Pansy St Sw Ste E, Huntsville, AL 35801-3827 | 2006-11-07 |
| 1922081744 | Kimberly Woods Shipper | Physician Assistant | 100 Memorial Drive, Huntsville, TX 77340 | 2005-11-25 |
| 1770131708 | Austin Laine Dages | Physician Assistant | 201 Governors Dr Sw Fl 1, Huntsville, AL 35801-5171 | 2019-09-03 |
| 1407210925 | Huntsville Hospital Spine and Neuro Center | Physician Assistant | 201 Governors Dr Sw, 1st Floor, Huntsville, AL 35801-5170 | 2016-04-11 |
| 1093183592 | Elizabeth Ann Perkins Hayes | Physician Assistant | 101 Sivley Rd Sw, Huntsville, AL 35801-4421 | 2015-09-14 |
| 1588914964 | Sharon Eressie Parker | Physician Assistant | 130 Medical Center Pkwy, Suite 7, Huntsville, TX 77340-4942 | 2012-09-13 |
| 1881940690 | Melissa Lynn Sanchez | Physician Assistant | 125 Medical Park Ln Ste C, Huntsville, TX 77340-4957 | 2012-07-30 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.