GREGORY LEE WERNER (NPI# 1003297581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003297581 |
| Entity Type | Individual |
| Full Name | GREGORY LEE WERNER |
| Credential | P.A.-C |
| Practice Address |
143 S Gibson St Medford WI 54451-1622 |
| Mailing Address |
W6435 Cedar St Medford WI 54451-8853 |
| Practice Telephone | 7157482121 |
| Mailing Telephone | 7159652181 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3532 - 23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962678672 | Gregory J. Werner | Dentist | 4425 Woodgate Dr, Janesville, WI 53546-9680 | 2008-05-02 |
| 1538124474 | Gregory Allen Werner | Chiropractor | 164 E 61st St # A, New York, NY 10065-8539 | 2006-04-20 |
| 1639440811 | Gregory Raymond Werner | Dentist | 8113 W 94th Ave, Westminster, CO 80021-4515 | 2012-01-20 |
| 1811004013 | Gregory Alan Werner | Dentist | 9602 E Washington St, Indianapolis, IN 46229 | 2006-08-24 |
| Street Address |
143 S GIBSON ST |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831100262 | Erik T Branstetter | Surgery | 143 S Gibson St, Medford, WI 54451-1622 | 2006-08-10 |
| 1174139869 | Angela E Colby | Nurse Practitioner | 143 S Gibson St, Medford, WI 54451-1622 | 2020-09-18 |
| 1457821258 | Nathania Adu | Nurse Practitioner | 143 S Gibson St, Medford, WI 54451 | 2018-12-05 |
| 1760868939 | Tisha Dawn Sleiter | Social Worker | 143 S Gibson St, Medford, WI 54451-1622 | 2015-08-10 |
| 1275971780 | Memorial Health Center, Inc. | Clinic/Center | 143 S Gibson St, Medford, WI 54451-1622 | 2013-06-06 |
| 1437404811 | Glenda Kay Way | Nurse Practitioner | 143 S Gibson St, Medford, WI 54451-1622 | 2012-07-20 |
| 1003100033 | Kathy Lynne Obermann | Registered Nurse | 143 S Gibson St, Medford, WI 54451-1622 | 2011-06-07 |
| 1881905263 | Emily J Tracey | Physician Assistant | 143 S Gibson St, Medford, WI 54451-1622 | 2010-06-30 |
| 1154576189 | Lindsey Lucero | Registered Nurse | 143 S Gibson St, Medford, WI 54451-1622 | 2008-11-18 |
| 1346394640 | Linda Israel Murphy | Social Worker | 143 S Gibson St, Medford, WI 54451-1622 | 2007-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932346095 | Elena Tovkan Forster | Physician Assistant | 2924 Siskiyou Blvd Ste 200, Medford, OR 97504 | 2009-01-12 |
| 1245416544 | Alanna R Dixon | Physician Assistant | 1698 E. Mcandrews Rd, Suite 400, Medford, OR 97504-5590 | 2008-01-16 |
| 1134784580 | Amanda Nicole Taylor | Physician Assistant | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-01 |
| 1295398766 | Lindsey R Robinson | Physician Assistant | 19 Myrtle St, Medford, OR 97504-7337 | 2019-04-19 |
| 1396226247 | Mason Scott Hoying | Physician Assistant | 1698 E Mcandrews Rd Ste 400, Medford, OR 97504-5590 | 2018-08-28 |
| 1720598287 | Ryan Mcdaniel | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-10-10 |
| 1861946931 | Erica Florence Smith | Physician Assistant | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2016-08-06 |
| 1578933123 | Fred Garnica | Physician Assistant | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2015-09-25 |
| 1780087502 | Dillon Smith | Physician Assistant | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2014-10-07 |
| 1861802944 | Landon Masterfield | Physician Assistant | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2014-04-29 |
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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.