RACHEL M KADERAVEK (NPI# 1023320934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023320934 |
| Entity Type | Individual |
| Full Name | RACHEL M KADERAVEK |
| Credential | PA |
| Practice Address |
112 Helen St Sauk City WI 53583-1101 |
| Practice Telephone | 6086433351 |
| Practice Fax Number | 6086433621 |
| Mailing Telephone | 6086433351 |
| Mailing Fax Number | 6086433621 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2011-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2620-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
112 HELEN ST |
| City | SAUK CITY |
| State | WI |
| Zip Code | 53583-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457334468 | Angela M Oconnor | Pediatrics | 112 Helen St, Sauk City, WI 53583-1168 | 2005-11-23 |
| 1316553720 | Katherine Packwood | Nurse Practitioner | 112 Helen St, Sauk City, WI 53583-1101 | 2020-09-21 |
| 1821554411 | Maureen Ann Schlager | Registered Nurse | 112 Helen St, Sauk City, WI 53583-1168 | 2019-02-19 |
| 1467976357 | Kym A Pharo | Nurse Practitioner | 112 Helen St, Sauk City, WI 53583-1101 | 2017-08-01 |
| 1124542329 | Kayla Lauren Moses | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2017-07-28 |
| 1780035527 | Lauren Marsicek | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2016-06-23 |
| 1245631514 | David Graf | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-09-05 |
| 1215349196 | Prairie Clinic, Sc | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-05-27 |
| 1730528654 | Renee L Schutte | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2013-06-25 |
| 1891138004 | Mary Elizabeth Bacsik-campbell | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912109794 | Patricia L Lohr | Nurse Practitioner | 9437 Cty Rd Y, Sauk City, WI 53583 | 2007-06-04 |
| 1508947185 | Sauk City Pharmacy Inc | Pharmacy | 830 Water St, Sauk City, WI 53583 | 2006-10-18 |
| 1578519336 | Mindy Shafer Weigel | Recreation Therapist | 560 Pathway Clinic, Prairie Du Sac, WI 53583 | 2006-05-25 |
| 1235187444 | Kilian Chiropractic Sc | Chiropractor | 515 Phillips Blvd, Sauk City, WI 53583 | 2006-05-04 |
| 1821081936 | Maplewood of Sauk Prairie | Pharmacy | 245 Sycamore Steet, Sauk City, WI 53583 | 2005-08-24 |
| 1063418747 | Nursing Homes Inc. | Skilled Nursing Facility | 245 Sycamore St, Sauk City, WI 53583-1013 | 2005-06-27 |
| 1588218317 | Carl Hatfield | Physical Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-07-30 |
| 1073175113 | Sarah Olson | Speech-Language Pathologist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-06-28 |
| 1629531496 | Carl Oliver | Occupational Therapist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-04-09 |
| 1922565878 | Marisa Burke | Occupational Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-02-27 |
| Find all providers in zip 53583 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245631514 | David Graf | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-09-05 |
| 1215349196 | Prairie Clinic, Sc | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-05-27 |
| 1730528654 | Renee L Schutte | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
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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.