JESSE VITCH (NPI# 1114328226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114328226 |
| Entity Type | Individual |
| Full Name | JESSE VITCH |
| Credential | AA |
| Practice Address |
W180n8085 Town Hall Rd Department of Anesthesiology Menomonee Falls WI 53051-3518 |
| Practice Telephone | 2622575100 |
| Mailing Telephone | 2622575100 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 88 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1114328226 | 05 |
| Street Address |
W180N8085 TOWN HALL RD DEPARTMENT OF ANESTHESIOLOGY |
| City | MENOMONEE FALLS |
| State | WI |
| Zip Code | 53051-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647287 | Forward Orthopedics, S.c. | Orthopaedic Surgery | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2005-05-24 |
| 1750993788 | Brittany Watson | Pharmacist | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-08-20 |
| 1982237277 | Kasey Knecht | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-02-15 |
| 1275163487 | Kayla Joy Scheid | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2020-01-16 |
| 1053969980 | Froedtert Health Pharmacy LLC | Pharmacy | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2019-09-04 |
| 1003392770 | Demi Elisabeth Anagnoustopolous | Physician Assistant | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-07-16 |
| 1376035782 | Shannon Daye | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-31 |
| 1063902054 | Laura Swoboda | Registered Nurse | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051 | 2018-05-15 |
| 1578050688 | Joseph Allen Weber | Student in an Organized Health Care Education/Training Program | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2018-04-16 |
| 1093220360 | Anne Mutitu | Nurse Practitioner | W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 | 2017-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968002 | Marisa Hiley | Nurse Practitioner | W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 | 2020-06-29 |
| 1225687940 | Andres Sercovich | Pharmacist | W12501 Leatherwood Ct N74, Menomonee Falls, WI 53051 | 2019-09-05 |
| 1699329193 | Athletico Ltd | Physical Therapist | N88w15562 Main St, Menomonee Falls, WI 53051 | 2019-08-01 |
| 1386103059 | Aegis Group Practice LLC | Occupational Therapist | N48w14250 W Hampton Ave, Menomonee Falls, WI 53051 | 2019-03-13 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1053814772 | Waukesha County Community Dental Clinic, Inc. | Clinic/Center | N81w15062 Appleton Ave, Menomonee Falls, WI 53051 | 2018-03-09 |
| 1942753314 | Kelly Schmidt | Pharmacist | 200 Woodland Prime Ste 300, Menomonee Falls, WI 53051 | 2016-08-02 |
| 1386027548 | Generations Family Dental Care Menomonee Falls, LLC | Dentist | N48 W14170 Hampton Ave., Menomonee Falls, WI 53051 | 2015-07-07 |
| 1184007551 | Monjot Kaur Kang | Pharmacist | N82 W15882 Appleton Ave, Menomonee Falls, WI 53051 | 2015-07-03 |
| 1417334038 | Costco Wholesale Corporation | Hearing Aid Equipment | 9235 Pershing Avenue, Menomonee Falls, WI 53051 | 2015-05-04 |
| Find all providers in zip 53051 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942638325 | Kyle Goham | Anesthesiologist Assistant | W180n8085 Town Hall Rd, Dept of Anesthesiology, Menomonee Falls, WI 53051-3518 | 2013-10-23 |
| 1053662023 | Ammar Haq | Anesthesiologist Assistant | W180n8085 Town Hall Rd, Anesthesiology, Menomonee Falls, WI 53051-3518 | 2012-10-01 |
| 1184924037 | David R Howard | Anesthesiologist Assistant | W180n8085 Town Hall Rd, Department of Anesthesiology, Menomonee Falls, WI 53051-3518 | 2010-10-26 |
| 1255403812 | Michael David Stout | Anesthesiologist Assistant | W180n8085 Town Hall Rd, Anesthesiology, Menomonee Falls, WI 53051-3518 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054668 | Brandon Camel | Anesthesiologist Assistant | 619 N Segoe Rd, Madison, WI 53705-3112 | 2019-07-12 |
| 1407329428 | Kayla M Hickmann | Anesthesiologist Assistant | 5311 S Ridge Way Apt 204, Middleton, WI 53562-1244 | 2019-01-03 |
| 1730637976 | William Brett Organ | Anesthesiologist Assistant | 2915 E Wanda Ave, Cudahy, WI 53110-2536 | 2016-09-16 |
| 1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
| 1669857660 | Cayla Joanne Dittmer | Anesthesiologist Assistant | 818 N Star Dr Apt 119, Madison, WI 53718-3011 | 2015-07-21 |
| 1891761383 | William L Campbell | Anesthesiologist Assistant | 4830 Woodburn Dr, Madison, WI 53711-1346 | 2006-02-24 |
| 1366418840 | Jamie F Fridirici | Anesthesiologist Assistant | 9401 Whippoorwill Way, Middleton, WI 53562-5643 | 2006-02-24 |
| 1790392736 | Rachel Mcallister | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-09-24 |
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1942815063 | Riley S Bertram | Anesthesiologist Assistant | 202 South Park Street, 4 Tower, Madison, WI 53715 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | MENOMONEE FALLS |
| Zip Code | 53051 |
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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.