MARLEE ANNE HALL (NPI# 1033603774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033603774 |
| Entity Type | Individual |
| Full Name | MARLEE ANNE HALL |
| Practice Address |
1411 N Taylor Dr Sheboygan WI 53081-3043 |
| Mailing Address |
825 Walton Dr Plymouth WI 53073-5022 |
| Practice Telephone | 9204574858 |
| Mailing Telephone | 9208924322 |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4384-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 825 Walton Dr, Plymouth, WI 530735022 | 9208924322 | |
| 950 Woodlake Rd, Kohler, WI 530441348 | 9207833150 |
| Street Address |
1411 N TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063483543 | Karen Lu Colvin | Nurse Anesthetist, Certified Registered | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2006-01-31 |
| 1235753922 | Elizabeth Grace Garncarz | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2020-05-29 |
| 1649827163 | Alice Chanakira-alimi | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2019-08-20 |
| 1821582016 | Lauren Sheafer | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-20 |
| 1386180362 | Amy Sue Gumieny | Nurse Practitioner | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2017-01-13 |
| 1417300518 | Prevea | Clinic/Center | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2016-07-13 |
| 1841687365 | Tina N Ozbeki | Family Medicine | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2015-04-22 |
| 1346668936 | St Nicholas Hospital-sisters of The Third Order of St Francis | Durable Medical Equipment & Medical Supplies | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2014-04-01 |
| 1093145773 | Marylou Mercado | Registered Nurse | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2013-11-18 |
| 1770922320 | Derek Schenk | Specialist/Technologist, Other | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699880716 | Linden J Engelsma | Physician Assistant | 1813 Ashland Ave, Sheboygan, WI 53081 | 2006-08-20 |
| 1982219051 | Faisal Ishfaq | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-09-15 |
| 1235753922 | Elizabeth Grace Garncarz | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2020-05-29 |
| 1164053039 | Kaitlin M Gross | Physician Assistant | 2629 N 7th St, Sheboygan, WI 53083-4932 | 2020-01-30 |
| 1639726656 | Ashley Gavigan | Physician Assistant | 3113 Saemann Ave, Sheboygan, WI 53081-1957 | 2019-08-23 |
| 1649827163 | Alice Chanakira-alimi | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2019-08-20 |
| 1760949796 | Noah T Slife | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2019-02-26 |
| 1407322183 | Alyssa Pfeifer-rentmeester | Physician Assistant | 2920 Superior Ave, Sheboygan, WI 53081-1944 | 2018-10-19 |
| 1801371505 | Kaley Dorion Meicher | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2018-09-27 |
| 1942782818 | Brittney A Ulness | Physician Assistant | 1440 N 25th St, Sheboygan, WI 53081-3108 | 2018-09-06 |
| Find all providers in SHEBOYGAN | ||||
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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.