Virginia Ellen Ceynar, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAC0281 Issued in ND

Practice address

525 North Main Street
Watford City, ND 58854

Phone

(701) 842-3771

Fax

(701) 842-4025

NPI assigned

Jul 25, 2006

Last updated

Dec 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Plains Radiation Oncology, P.C.

  • Radiation Oncology Physician
  • Williston, ND
  • NPI 1528130127
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1619990611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NORTH MAIN STREET",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "58854",
            "telephone_number": "701-842-3771",
            "fax_number": "701-842-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NORTH MAIN STREET",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "58854",
            "telephone_number": "701-842-3771",
            "fax_number": "701-842-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEYNAR",
        "first_name": "VIRGINIA",
        "middle_name": "ELLEN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4304366",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8361552",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA4371043533",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108827102",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943987",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "24633",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "77063749858854A005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misti Breitbach, NP
• Mark Edward Brewster, M.D.
• Nathan Joseph Burbach, DDS
• Rocio Casanova-Wurzer
• Stephanie Casteel
• Ilea Charlton
• Crystal Marie Christensen, FNP-C
• Jessica M Comeau, FNP
• Kathleen Danks
• Jeffrey Alan Davis, ATC, LAT

• Physician Assistant in Watford City, ND
• Providers in Watford City, ND by specialty
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.