MARY FITZGERALD LOVELIEN (NPI# 1063567105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063567105 |
| Entity Type | Individual |
| Full Name | MARY FITZGERALD LOVELIEN |
| Credential | PA-C |
| Practice Address |
1703 N Taylor Dr Sheboygan WI 53081-1933 |
| Practice Telephone | 9204574438 |
| Mailing Telephone | 9204574438 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2078-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1703 N TAYLOR DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134185945 | Scott M Stillwell | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2006-04-21 |
| 1760949796 | Noah T Slife | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2019-02-26 |
| 1801371505 | Kaley Dorion Meicher | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2018-09-27 |
| 1912426073 | Courtney Johnson | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2017-09-10 |
| 1750745162 | Xia Vang | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2016-04-12 |
| 1518307248 | Mitchell Dennis Hulbert | Podiatrist | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2013-06-26 |
| 1407198716 | Katelin A Krystowiak | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2013-03-25 |
| 1306199435 | Kate M Ratajczak | Nurse Practitioner | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2012-10-26 |
| 1760670772 | Melissa M Krause | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-10-04 |
| 1023217528 | Eric D Boehmer | Family Medicine | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2007-07-13 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582016 | Lauren Sheafer | Physician Assistant | 1411 N Taylor Dr, Sheboygan, WI 53081-3043 | 2018-06-20 |
| 1912426073 | Courtney Johnson | Physician Assistant | 1703 N Taylor Dr, Sheboygan, WI 53081-1933 | 2017-09-10 |
| 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.