SARA J HOLLAND (NPI# 1104041623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104041623 |
| Entity Type | Individual |
| Full Name | SARA J HOLLAND |
| Other Name | SARA CROOKSHANK |
| Credential | PA-C |
| Practice Address |
1 S Park St Madison WI 53715-1375 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082872700 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4220-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA10005183 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50003326 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0220568 | 01 |
| WA | 8501058 | 05 | |
| WA | STATE LICENSE | PA10005183 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578930855 | Sara Holland | Occupational Therapist | 3933 Rocky River Pl, Harrisburg, NC 28075-8599 | 2015-08-21 |
| 1710499504 | Sara Holland | Pharmacist | 427 12th St, Plummer, ID 83851-4000 | 2017-11-02 |
| 1629485610 | Sara Holland | Physical Therapist | 8 Century Hill Dr, Suite 201, Latham, NY 12110-2193 | 2014-07-22 |
| 1275768996 | Sara Holland | Nurse Practitioner | 2121 Highland Ave, Knoxville, TN 37916-1111 | 2009-05-26 |
| Street Address |
1 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023906 | Amorn Neil Salyapongse | Plastic Surgery | 1 S Park St, Division of Hand Surgery, Madison, WI 53715-1375 | 2005-09-19 |
| 1073112082 | Dorothy Anne Imhoff | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2020-10-21 |
| 1003459769 | Jessica Ann Nowak | Registered Nurse | 1 S Park St, Madison, WI 53715-1375 | 2019-10-24 |
| 1225688443 | Jing Y Ries | Occupational Therapist | 1 S Park St, Madison, WI 53715-1375 | 2019-09-19 |
| 1538719349 | Chad J. Hess | Physician Assistant | 1 S Park St, Madison, WI 53715-1375 | 2019-09-13 |
| 1295380566 | Leah O'connell | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2019-08-05 |
| 1326506031 | Jackie L Hill | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2019-03-12 |
| 1093279085 | Christie Lynn-warren King | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2019-01-24 |
| 1447746284 | University of Wisconsin Hospitals and Clinics Authority | Prosthetic/Orthotic Supplier | 1 S Park St, Madison, WI 53715-1375 | 2018-07-05 |
| 1982106555 | Traci L Gundlach | Nurse Practitioner | 1 S Park St, Madison, WI 53715-1375 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1194354928 | Shqipe Ademi | Physician Assistant | 5417 Hazelcrest Dr, Madison, WI 53704-8910 | 2020-04-03 |
| 1902432685 | Therese Rowe | Physician Assistant | 1 Point Pl Ste 200, Madison, WI 53719-2836 | 2020-03-13 |
| 1437784139 | Mark Mckinney | Physician Assistant | 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 | 2020-03-03 |
| 1619511706 | Nicole Frakes | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2019-10-31 |
| 1508428558 | Martha Busse | Physician Assistant | 1650 Monroe St Apt D, Madison, WI 53711-2045 | 2019-06-30 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1487124020 | Kaitlyn Jolena Mcmackin | Physician Assistant | 120 Fountains Blvd Ste 1000, Madison, MS 39110-6343 | 2018-11-27 |
| 1013493907 | Paulina A Hall | Physician Assistant | 700 S Park St Suite A, Madison, WI 53715-5228 | 2018-07-13 |
| 1700370020 | Mark Diaz IIi | Physician Assistant | 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 | 2018-06-20 |
| Find all providers in MADISON | ||||
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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.