GLORIA DEGENHARDT (NPI# 1114914744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114914744 |
| Entity Type | Individual |
| Full Name | GLORIA DEGENHARDT |
| Credential | PA |
| Practice Address |
200 W North St. Norwalk WI 54648-0225 |
| Mailing Address |
238 Front St Cashton WI 54619-2002 |
| Practice Telephone | 6086545100 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2012-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1818 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 W NORTH ST. |
| City | NORWALK |
| State | WI |
| Zip Code | 54648-0225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1588639736 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North St., Norwalk, WI 54648-0228 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1992305049 | Karla Teixeira | Respiratory Therapist, Registered | 15 1/2 Riverside Ave Unit B, Norwalk, CT 06850-3015 | 2020-10-28 |
| 1609476910 | Jacqueline Louise Linden | Home Health | 520 Milan Ave Lot 186, Norwalk, OH 44857-8737 | 2020-10-27 |
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1851990501 | Mildred J Yost | Driver | 2275 Greenwich Milan Townline Rd, Norwalk, OH 44857-9509 | 2020-10-23 |
| 1518565340 | Haley Moser | Speech-Language Pathologist | 1 Glover Ave Apt 329, Norwalk, CT 06850-1243 | 2020-10-14 |
| 1659979805 | Samantha Yurman | Social Worker | 100 Richards Ave Apt 309, Norwalk, CT 06854-1632 | 2020-10-10 |
| 1831706464 | Ibsen Oviedo | Massage Therapist | 41 Lovatt St, Norwalk, CT 06851-4127 | 2020-09-28 |
| 1457968075 | Khalaf Jerry | Massage Therapist | 180 N Taylor Ave, Norwalk, CT 06854-1118 | 2020-09-28 |
| 1548877277 | Sarah Yarber | Technician | 3126 River Rd, Norwalk, OH 44857-9591 | 2020-09-27 |
| Find all providers in NORWALK | ||||
| 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 |
|---|---|---|---|---|
| 1780218271 | Brenda Nava | Physician Assistant | 13531 Thistle Ave, Norwalk, CA 90650-3244 | 2020-02-24 |
| 1700377546 | Constantino Papadopoulos | Physician Assistant | 23 Dairy Farm Rd, Norwalk, CT 06851-6024 | 2018-05-29 |
| 1245783380 | Danielle Nicole Munday | Physician Assistant | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | 2016-07-25 |
| 1912321803 | David Irving Allyn | Physician Assistant | 3 Oakwood Ave, Unit A25, Norwalk, CT 06850-1339 | 2014-02-12 |
| 1396816732 | Mary-jane Cross | Physician Assistant | 40 Stevens St, Norwalk, CT 06851 | 2006-11-09 |
| 1356410013 | Monica Moore | Physician Assistant | 10 Glover Ave, Norwalk, CT 06850-1202 | 2006-11-07 |
| 1609966993 | Shantell S Wray | Physician Assistant | 350 Main Ave, C/o Dr. Appleby School Based Health Center At Briggs Hs, Norwalk, CT 06851-1510 | 2006-10-15 |
| 1265448294 | Glenn Michael De Guzman | Physician Assistant | 13330 Bloomfield Ave Ste 111, Norwalk, CA 90650-3264 | 2006-07-31 |
| 1326026428 | Todd D Hills | Physician Assistant | 280 Benedict Ave Ste B, Norwalk, OH 44857-2374 | 2006-01-09 |
| 1235752049 | Amanda Nicole Conti | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2020-05-27 |
| Find all providers in NORWALK | ||||
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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.