DAMIEN PAYNE (NPI# 1053796524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053796524 |
| Entity Type | Individual |
| Full Name | DAMIEN PAYNE |
| Practice Address |
1087 Westport Dr Apt 155 Port Washington WI 53074-2481 |
| Practice Telephone | 4142080605 |
| Practice Fax Number | 2623642336 |
| Mailing Telephone | 4142080605 |
| Mailing Fax Number | 2623642336 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 100043804 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100043804 | 05 |
| Street Address |
1087 WESTPORT DR APT 155 |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-2481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184118846 | Town & Country Transport | Non-emergency Medical Transport (VAN) | 3019 Bremer St, Port Washington, OH 43837-9232 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454325 | Richwood Enterprises LLC Dba Richwood Transport | Non-emergency Medical Transport (VAN) | 2564 Branch St Ste B10, Middleton, WI 53562-2850 | 2020-10-13 |
| 1861099897 | Seng Lor | Non-emergency Medical Transport (VAN) | 2303 Moholt Dr, Eau Claire, WI 54703-2460 | 2020-10-02 |
| 1568077022 | Shatona Moore | Non-emergency Medical Transport (VAN) | 5220 N 107th St, Milwaukee, WI 53225-3124 | 2020-09-11 |
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1629681663 | Taylor Transport Care LLC | Non-emergency Medical Transport (VAN) | 4433 N 50th St, Milwaukee, WI 53218-5704 | 2020-08-28 |
| 1548878382 | American Phoenix Transportation LLC | Non-emergency Medical Transport (VAN) | 8544 9 Mile Creek Rd, Fall Creek, WI 54742-5306 | 2020-07-17 |
| 1497371041 | Mobility Transport LLC | Non-emergency Medical Transport (VAN) | 7114 W Mill Rd, Milwaukee, WI 53218-1229 | 2020-06-19 |
| 1144856964 | Donnell Marcellus Rushing | Non-emergency Medical Transport (VAN) | 4208 N 52nd St, Milwaukee, WI 53216-1338 | 2020-03-13 |
| 1184259996 | M&l Transportation, LLC | Non-emergency Medical Transport (VAN) | 8700 W Beloit Rd, Milwaukee, WI 53227-3714 | 2020-03-12 |
| 1962037424 | Glory Transportation Services LLC | Non-emergency Medical Transport (VAN) | 8701 W Greenwood Ter, Milwaukee, WI 53224-4019 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on DAMIEN PAYNE.
| 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.