MS. ANDREA JANE NEAULT (NPI# 1104933548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104933548 |
| Entity Type | Individual |
| Full Name | MS. ANDREA JANE NEAULT |
| Other Name | ANDREA JANE JOHANEN |
| Credential | PA |
| Practice Address |
N430 Wood Duck Dr Fremont WI 54940 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9204462000 |
| Practice Fax Number | 9204462031 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1901-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | MN1349415 | 01 |
| Street Address |
N430 WOOD DUCK DR |
| City | FREMONT |
| State | WI |
| Zip Code | 54940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336614213 | Kaitlin M Engle | Nurse Practitioner | N430 Wood Duck Dr, Fremont, WI 54940-8855 | 2018-10-08 |
| 1407987233 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | N430 Wood Duck Dr, Fremont, WI 54940-8855 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174668495 | Fremont- Wolf River Ems,ltd. | Ambulance | E7405 Highway 110, Fremont, WI 54940 | 2007-02-21 |
| 1720030471 | Jason Landon Garrow | Physician Assistant | E7376 Hwy H, Fremont, WI 54940-3454 | 2006-05-17 |
| 1033421771 | Jill Marie Van Lyssel | Registered Nurse | W330 Edlund Ln, Fremont, WI 54940-8513 | 2010-07-10 |
| 1366653248 | Tara Mcpeak | Occupational Therapist | N5509 36th Dr, Fremont, WI 54940-8625 | 2007-05-24 |
| 1053662452 | Traci Hoch | Registered Nurse | W1445 Berkans Rd, Fremont, WI 54940-8648 | 2012-09-25 |
| 1326105230 | Denis C. Scharine, Dds S.c. | Dentist | 403 Wolf River Dr, Fremont, WI 54940-9038 | 2007-01-02 |
| 1033558481 | Denis C Scharine | Dentist | 403 Wolf River Dr, Po Bx 500, Fremont, WI 54940-9038 | 2013-06-19 |
| 1063612877 | Lewin Furniture-funeral Home Inc | Durable Medical Equipment & Medical Supplies | 207 Wolf River Dr, Fremont, WI 54940-9052 | 2007-07-19 |
| 1982650941 | Theresa Gurgel | Occupational Therapist | 1105 Waupaca St, Fremont, WI 54940-9072 | 2006-05-25 |
| 1316004047 | Nancy Schanke | Occupational Therapist | N1409 County Rd W, Fremont, WI 54940-9120 | 2007-01-02 |
| Find all providers in zip 54940 | ||||
| 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 |
|---|---|---|---|---|
| 1962054213 | Phuong Thi Du Nguyen | Physician Assistant | 34311 Oconnell Ct, Fremont, CA 94555-3027 | 2019-07-16 |
| 1083107304 | Zeba Mundu | Physician Assistant | 35864 Mission Blvd, Fremont, CA 94536-1544 | 2018-06-12 |
| 1518402353 | Patrizia Andreina Visconti | Physician Assistant | 2557 Mowry Ave Ste 25, Fremont, CA 94538-1614 | 2017-01-04 |
| 1144698721 | Cindy Luo | Physician Assistant | 2557 Mowry Ave # 3a, Fremont, CA 94538-1603 | 2015-09-12 |
| 1639239205 | Jeffrey Cooper | Physician Assistant | 39120 Argonaut Way # 275, Fremont, CA 94538-1304 | 2006-12-12 |
| 1467529842 | Yvonne Muro | Physician Assistant | 686 Mowry Ave., Fremont, CA 94536-4113 | 2006-11-29 |
| 1487728747 | Mary J Flamme | Physician Assistant | 1848 N Nye Ave, Fremont, NE 68025-1300 | 2006-11-20 |
| 1720030471 | Jason Landon Garrow | Physician Assistant | E7376 Hwy H, Fremont, WI 54940-3454 | 2006-05-17 |
| 1639127517 | Larry G Kisby | Physician Assistant | 710 Reynolds Road, Fremont, NE 68025-2300 | 2006-05-04 |
| 1225097389 | Ami S Jones | Physician Assistant | 426 E 22nd St Ste 100, Fremont, NE 68025-2633 | 2006-03-18 |
| Find all providers in FREMONT | ||||
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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.