MS. AMBER D DEVINE (NPI# 1053520544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053520544 |
| Entity Type | Individual |
| Full Name | MS. AMBER D DEVINE |
| Other Name | MRS. AMBER DIANE GRAF |
| Credential | PA-C |
| Practice Address |
7401 104th Ave Suite 110 Kenosha WI 53142-7845 |
| Practice Telephone | 2627645595 |
| Practice Fax Number | 2627649314 |
| Mailing Telephone | 2627645595 |
| Mailing Fax Number | 2627649314 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2180-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7401 104TH AVE SUITE 110 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110255 | Jonathan D Main | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-08 |
| 1700174125 | Nyssa Slimack | Registered Nurse | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2011-07-19 |
| 1306016654 | Rheumatology and Immunotherapy Center | Internal Medicine | 7401 104th Ave, Suite 110, Kenosha, WI 53142 | 2008-03-03 |
| 1356558464 | Michael Josef Slimack | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2007-05-17 |
| 1023112588 | Michael Aaron Engel | Podiatrist | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-09-12 |
| 1922030030 | Thomas S Werbie | Orthopaedic Surgery | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-07-07 |
| 1215983622 | Eleanor Jane Figuerres | Obstetrics & Gynecology | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-05-26 |
| 1376597229 | Michael J Nute | Podiatrist | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2006-05-22 |
| 1295717445 | Comprehensive Orthopaedics Sc | Family Medicine | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-15 |
| 1750362208 | Karen J Stevens | Physician Assistant | 7401 104th Ave, Suite 110, Kenosha, WI 53142-7845 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750800884 | Christos Reppas | Physician Assistant | 3400 Market Ln, Kenosha, WI 53144-3430 | 2017-09-09 |
| 1629080247 | Heather M Barrett | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2006-08-12 |
| 1568496990 | Jerrilyn Johnson | Physician Assistant | 8501 75th St, Suite J, Kenosha, WI 53142-7602 | 2006-07-10 |
| 1902852072 | Andrea M Mattison | Physician Assistant | 3400 Market Ln, Kenosha, WI 53144-3430 | 2006-05-26 |
| 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.