MR. DANIEL MASELLI (NPI# 1831595081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831595081 |
| Entity Type | Individual |
| Full Name | MR. DANIEL MASELLI |
| Credential | PA-C |
| Practice Address |
5955 Zeamer Ave Jber AK 99506-3702 |
| Mailing Address |
354 Lincoln Way Ne Ludowici GA 31316-5675 |
| Practice Telephone | 9075806280 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760877310 | Daniel Barry Maselli | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2015-03-31 |
| Street Address |
5955 ZEAMER AVE |
| City | JBER |
| State | AK |
| Zip Code | 99506-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031768 | Robert Fenton Tyree | Family Medicine | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2005-05-28 |
| 1457985210 | Allison Nicole Womble | Pharmacist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2020-03-02 |
| 1982249579 | Nicolas Araiza Jr. | Social Worker | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-11-07 |
| 1235772732 | Sean Michael Batzer | Physical Therapist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-10-28 |
| 1912540295 | Melody Megan Thompson | Nurse Practitioner | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-10-19 |
| 1932752771 | Kevin T Watanabe | Dietitian, Registered | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-07-22 |
| 1851853048 | Jordan Matthew Cate | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-04-05 |
| 1669933719 | Keith Happawana | Counselor | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-03-29 |
| 1104303320 | Luis Baltazar Baptista | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-07-20 |
| 1134611213 | Luke Acker | Psychologist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
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| 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 |
|---|---|---|---|---|
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1700322773 | Joshua Hatch | Physician Assistant | Bldg 786 D St., Jber, AK 99505 | 2017-01-13 |
| 1609294933 | Benjamin E. Thompson | Physician Assistant | Jber Scmh, Bldg 786 D St, Jber, AK 99505 | 2014-04-03 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1811522154 | Rashawna J Spaights-nunley | Physician Assistant | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2020-03-06 |
| 1083090468 | Sherry D. Carter | Physician Assistant | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2015-08-07 |
| 1073907614 | Nathan Greene | Physician Assistant | 5800 Westover Ave, #258, Jber, AK 99506-1603 | 2015-03-21 |
| 1396143772 | Marina Perez | Physician Assistant | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2014-12-16 |
| 1437566338 | Jason William Ptak | Physician Assistant | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99508 | 2014-07-13 |
| 1730591595 | Billy Atherton | Physician Assistant | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2014-05-28 |
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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.