| Ethan Thaut, | |
|
801 5th St, Sioux City, IA 51101-1326 | |
| (712) 279-2010 | |
| Not Available |
| Full Name | Ethan Thaut |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 801 5th St, Sioux City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417681255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Thaut, 327 Lakeshore Dr, North Sioux City, SD 57049-4002 Ph: (307) 337-6943 | Ethan Thaut, 801 5th St, Sioux City, IA 51101-1326 Ph: (712) 279-2010 |
Ashley Rae Knapp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106 Phone: 712-266-2700 Fax: 712-266-2666 | |
Jeremy A Vitamvas, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr, Sioux City, IA 51106 Phone: 712-266-2760 Fax: 712-266-2719 | |
Ms. Kristi Jo Hansen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2512 | |
Mrs. Maureen Janet Fisher, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4230 Hamilton Blvd, Urgent Care North Side, Sioux City, IA 51104 Phone: 712-224-5550 | |
Gary Heath, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2501 Pierce St, Sioux City, IA 51104 Phone: 712-294-5000 Fax: 712-294-5091 | |
Mr. Carl Edwin Peters, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1551 Indian Hills Dr, Sioux City, IA 51104 Phone: 712-258-4700 Fax: 712-258-4777 | |
Ms. Theresa J. Swenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2730 Pierce St Ste 300, Sioux City, IA 51104 Phone: 712-224-8677 |