LORI ANN ELLERMAN (NPI# 1053687772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053687772 |
| Entity Type | Individual |
| Full Name | LORI ANN ELLERMAN |
| Credential | CST |
| Practice Address |
5200 Hummingbird Rd Ste 100 Wausau WI 54401-6312 |
| Practice Telephone | 7153596442 |
| Practice Fax Number | 7153930390 |
| Mailing Telephone | 7153596442 |
| Mailing Fax Number | 7153930390 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
130260 | WI | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CERTIFIED SURGICAL TECHNICIAN | 130260 | 01 |
| Street Address |
5200 HUMMINGBIRD RD STE 100 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346297900 | Thomas G Staysniak | Podiatrist | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-05-28 |
| 1306335336 | Brianne C Sims | Nurse Practitioner | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-05-04 |
| 1568961720 | Tristan Philip Peterson | Specialist/Technologist, Other | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-02-02 |
| 1144699414 | Kelsey J Brost | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2015-09-17 |
| 1376952507 | Crystal Lothe | Nurse Practitioner | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2014-08-13 |
| 1902166978 | Jessica L Juntunen | Family Medicine | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2012-05-23 |
| 1568793479 | Justin John Tuskowski | Specialist/Technologist, Other | 5200 Hummingbird Rd, Wausau, WI 54401-6312 | 2010-01-18 |
| 1124354345 | Northern Wisconsin Bone & Joint | Specialist | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2009-10-22 |
| 1639302623 | Jeffrey Michel Keola Martin | Orthopaedic Surgery | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-25 |
| 1487885596 | Daniel P Johnston | Physician Assistant | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2009-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457504110 | Jason D. Schillinger | Specialist/Technologist, Other | 5200 Humingbird Road, Suite 100, Wausau, WI 54401 | 2008-10-28 |
| 1568961720 | Tristan Philip Peterson | Specialist/Technologist, Other | 5200 Hummingbird Rd, Suite 100, Wausau, WI 54401-6312 | 2018-02-02 |
| 1568793479 | Justin John Tuskowski | Specialist/Technologist, Other | 5200 Hummingbird Rd, Wausau, WI 54401-6312 | 2010-01-18 |
| 1316169808 | Tara Jean Czarnezki | Specialist/Technologist, Other | 425 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4123 | 2007-05-03 |
| 1912005893 | Michael Alan Weeks | Specialist/Technologist, Other | 425 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4123 | 2006-09-21 |
| 1932207834 | Chad Robert Vercimak | Specialist/Technologist, Other | 5200 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731161 | Shannon Lori Marohl | Specialist/Technologist, Other | 1818 N Meade St # 240, Appleton, WI 54911-3454 | 2018-08-22 |
| 1780178137 | Dana Schmidt | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2018-06-19 |
| 1679950315 | Donnie Henderson | Specialist/Technologist, Other | 733 Copernicus Way, Madison, WI 53718-3098 | 2015-05-01 |
| 1922349935 | Rebecca Joan Kiekhoefer | Specialist/Technologist, Other | 416 S Lincoln Dr, Howards Grove, WI 53083-1243 | 2013-03-15 |
| 1952648222 | Kh Surgical Assisting, LLC | Specialist/Technologist, Other | N115w20014 N Woodland Dr., Germantown, WI 53022-2926 | 2013-01-07 |
| 1184983421 | Conrad Christopher Botz II | Specialist/Technologist, Other | 1357 Pheasant Run, New Richmond, WI 54017-4501 | 2012-05-07 |
| 1952625642 | Mary B. Luberda | Specialist/Technologist, Other | 143 Acreview Dr, De Pere, WI 54115-3655 | 2010-03-24 |
| 1558344663 | Rhonda Catherine Mayne | Specialist/Technologist, Other | 833 S Iowa St, Suite 104, Dodgeville, WI 53533-1900 | 2005-11-22 |
| 1093370363 | Janene M Ray | Specialist/Technologist, Other | 1818 N Meade St Ste 240w, Appleton, WI 54911-3454 | 2019-05-02 |
| 1548744329 | Tammy Lynn Ebben | Specialist/Technologist, Other | 1818 N Meade St, Appleton, WI 54911-3454 | 2018-09-18 |
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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.