MARI C MATHERS (NPI# 1053938548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053938548 |
| Entity Type | Individual |
| Full Name | MARI C MATHERS |
| Practice Address |
3409 N Downer Ave Milwaukee WI 53211-2934 |
| Mailing Address |
N68w14788 Prudence Dr Menomonee Falls WI 53051-0911 |
| Practice Telephone | 4142293914 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3409 N DOWNER AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659673085 | John Ochsenwald | Specialist/Technologist | 3409 N Downer Ave, Pav 250, Sports Medicine, Milwaukee, WI 53211 | 2010-11-17 |
| 1649888066 | Rebecca Oszewski | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-07-22 |
| 1265040034 | Claire Meyer | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-07-17 |
| 1770100059 | Amber Mcnulty | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-07-02 |
| 1932726510 | Shaylyn Fuerstenau | Student in an Organized Health Care Education/Training Program | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-06-30 |
| 1245857275 | Kensington Naze | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-06-25 |
| 1194350009 | Jordan Anthony | Student in an Organized Health Care Education/Training Program | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-03-11 |
| 1518597863 | James Joseph Andresen | Student in an Organized Health Care Education/Training Program | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2020-01-24 |
| 1801390448 | Hayley Ericksen | Physical Medicine & Rehabilitation | 3409 N Downer Ave, Milwaukee, WI 53211 | 2018-03-20 |
| 1033667928 | Katie Schulz | Specialist/Technologist | 3409 N Downer Ave, Milwaukee, WI 53211-2934 | 2016-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1831707991 | Teresa Marie Ilardi | Student in an Organized Health Care Education/Training Program | 500 W Bradley Rd Apt 127a, Milwaukee, WI 53217-2618 | 2020-07-15 |
| 1053938167 | Joe Dalton | Student in an Organized Health Care Education/Training Program | 1431 N 53rd St, Milwaukee, WI 53208-2227 | 2020-07-06 |
| 1326663790 | Amber Frances Wegner | Student in an Organized Health Care Education/Training Program | 3050 S 62nd St, Milwaukee, WI 53219-3039 | 2020-06-11 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1194349688 | Nikole Anne Bruno | Student in an Organized Health Care Education/Training Program | 2160 S Kinnickinnic Ave Apt 327, Milwaukee, WI 53207-1345 | 2020-06-01 |
| 1598389124 | Amanda Philbin | Student in an Organized Health Care Education/Training Program | 6834 W Cold Spring Rd, Milwaukee, WI 53220-2909 | 2020-05-29 |
| 1992328603 | Amanda Kathryn Browning | Student in an Organized Health Care Education/Training Program | 1123 E Van Beck Ave, Milwaukee, WI 53207-4525 | 2020-05-28 |
| 1548899875 | Brittany Schall | Student in an Organized Health Care Education/Training Program | 945 N 12th St # 3105, Milwaukee, WI 53233-1305 | 2020-04-07 |
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
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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.