KAYCE L KIESCHNICK (NPI# 1811008774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811008774 |
Entity Type | Individual |
Full Name | KAYCE L KIESCHNICK |
Credential | P.A. |
Practice Address |
2206 E Villa Maria Rd Bryan TX 77802-2547 |
Practice Telephone | 9797764600 |
Practice Fax Number | 9797740877 |
Mailing Telephone | 9797764600 |
Mailing Fax Number | 9797740877 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04023 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 400795701 | 05 |
Street Address |
2206 E VILLA MARIA RD |
City | BRYAN |
State | TX |
Zip Code | 77802-2547 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629020011 | Charles Henry Moore | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-05-16 |
1073056248 | Hannah Helm | Physician Assistant | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2016-11-21 |
1558751834 | Anesthesia Associates of Bryan LLC | Nurse Anesthetist, Certified Registered | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2015-01-26 |
1225360605 | Bryan Gastropath, LLC | Clinical Medical Laboratory | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2010-02-09 |
1588820054 | Joshua David Sultz | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2008-08-04 |
1922263722 | David J Case | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2008-07-22 |
1811061930 | William H Lovett IIi | Physician Assistant | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-11-20 |
1639260763 | Central Texas Digestive Disease Association, Pa | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-09-27 |
1316058266 | Phyllis Clara Chang | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-08-31 |
1043321987 | Brent Morgan Gray | Internal Medicine | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
Find all providers in zip 77802 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801876479 | Phil Reedy | Physician Assistant | 1707 Broadmoor Dr, Suite 100, Bryan, TX 77802-5233 | 2006-01-19 |
1073056248 | Hannah Helm | Physician Assistant | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2016-11-21 |
1891162020 | Kristin Marie Kutac | Physician Assistant | 3201 University Dr E Ste 425, Bryan, TX 77802-3479 | 2015-08-24 |
1477852747 | Nicole R Young | Physician Assistant | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2011-03-25 |
1831255298 | Gregory S. Remien | Physician Assistant | 3121 University Dr E Ste 100, Bryan, TX 77802 | 2006-12-29 |
1811061930 | William H Lovett IIi | Physician Assistant | 2206 E Villa Maria Rd, Bryan, TX 77802-2547 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.