STEPHEN HANISEE PARK (NPI# 1013986652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013986652 |
| Entity Type | Individual |
| Full Name | STEPHEN HANISEE PARK |
| Credential | RN |
| Practice Address |
S7208a Yanske Road Viroqua WI 54665-5466 |
| Practice Telephone | 6086753848 |
| Mailing Telephone | 6086753848 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RN LICENSE | R 136336-4 | 01 |
| WI | 38237900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124366257 | Stephen B Park | Dentist | 34724 14th Pl Sw, Federal Way, WA 98023-7030 | 2013-01-24 |
| 1316226202 | Stephen Park | Dentist | 8630 Fenton St Ste 928, Silver Spring, MD 20910-3810 | 2011-08-09 |
| 1649407289 | Stephen Joseph Park | Internal Medicine | 9711 Medical Center Dr Ste 308, Rockville, MD 20850-3388 | 2009-06-22 |
| 1760561450 | Stephen Jin Park | Dentist | 925 W 34th St # 124c, Los Angeles, CA 90089-0058 | 2006-11-03 |
| 1952359002 | Stephen S Park | Internal Medicine | 11039 Acacia Pkwy, Garden Grove, CA 92840 | 2006-05-04 |
| 1700346996 | Stephen Joon Park | Student in an Organized Health Care Education/Training Program | 1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2019-03-22 |
| 1730591728 | Stephen Park | Psychologist | 243 N Highway 101, Suite 16, Solana Beach, CA 92075-1180 | 2014-05-23 |
| 1740627371 | Stephen Sangjin Park | Emergency Medicine | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2013-05-22 |
| 1457420085 | Stephen S. Park | Otolaryngology | 415 Ray C Hunt Dr, Charlottesville, VA 22903-2980 | 2006-11-07 |
| 1699781864 | Stephen Matthew Park | Pediatrics | 700 East Woodland Dr, Saline, MI 48176-1620 | 2006-07-31 |
| Street Address |
S7208A YANSKE ROAD |
| City | VIROQUA |
| State | WI |
| Zip Code | 54665-5466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083178644 | Sarah Ann Gronemus | Occupational Therapist | 407 South Main Street, Suite 302, Viroqua, WI 54665 | 2019-01-29 |
| 1356836399 | Kali Roesler | Occupational Therapy Assistant | E7404 Cr-bb, Viroqua, WI 54665 | 2018-06-22 |
| 1679082226 | Tri-state Regional Ambulance, Inc. | Non-emergency Medical Transport (VAN) | 110 Brendel Lane, Suite B, Viroqua, WI 54665 | 2017-09-27 |
| 1053867200 | Jerrodf Lee Getter | Physical Therapy Assistant | S4602a Cty Road S, Viroqua, WI 54665 | 2016-08-28 |
| 1023496387 | Katrina M Johnson | Social Worker | 210 Airport Road, Suite 103, Viroqua, WI 54665 | 2015-05-07 |
| 1295146785 | Aryn L. Slack | Physical Medicine & Rehabilitation | E7404 County Road Bb, Viroqua, WI 54665 | 2014-05-19 |
| 1831472083 | Longview Home for Boys | Community/Behavioral Health | E4600 Hwy 56, Viroqua, WI 54665 | 2011-09-23 |
| 1598092793 | Stephen James Groth | Pharmacist | S 5970 County N, Viroqua, WI 54665 | 2009-11-09 |
| 1265606842 | Kathryn Ann Sutton-anderson | Physical Therapist | 507 South Main Street, Viroqua, WI 54665 | 2008-04-15 |
| 1346385754 | Thomas Krieger-fritsch | Chiropractor | 114 Fs Dr Ste A, Viroqua, WI 54665 | 2007-02-21 |
| Find all providers in zip 54665 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609397488 | Robin Jo Marie Ringleka-kottke | Registered Nurse | 308 Western Ave, Viroqua, WI 54665-1358 | 2017-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717111 | Emilie S Steiner | Registered Nurse | 1121 River Place Blvd, Waukesha, WI 53189-7871 | 2020-10-12 |
| 1447858733 | Kelly Wendt | Registered Nurse | 204 Morrissey Dr, North Prairie, WI 53153-9732 | 2020-10-09 |
| 1942815683 | Catherine Mary Waldvogel | Registered Nurse | W8046 Moose Lake Rd, Antigo, WI 54409-8961 | 2020-09-10 |
| 1407468176 | Pageen Manolis Small | Registered Nurse | 308 Owen Rd, Monona, WI 53716-3526 | 2020-08-23 |
| 1932717410 | Paulette Jo Whalen | Registered Nurse | W267s7535 Olympia Ct N, Waukesha, WI 53189-9637 | 2020-07-21 |
| 1760009419 | Kerstin Leslie Nedegaard | Registered Nurse | W1080 Mohawk Valley Rd, Stoddard, WI 54658-9025 | 2020-06-29 |
| 1477177079 | Chanelle Anshela Causey | Registered Nurse | 3840 N 57th St, Milwaukee, WI 53216-2216 | 2020-05-31 |
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1487276705 | Monica Lynn Paar | Registered Nurse | 21343 Wolfe Run Ln Apt 3a, Galesville, WI 54630-8794 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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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.