MARTINE BANDA-WOLK (NPI# 1124029608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124029608 |
| Entity Type | Individual |
| Full Name | MARTINE BANDA-WOLK |
| Credential | APNP |
| Practice Address |
7601 Discovery Dr Middleton WI 53562-5528 |
| Practice Telephone | 6083380400 |
| Practice Fax Number | 6088248817 |
| Mailing Telephone | 6083380400 |
| Mailing Fax Number | 6088248817 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 302 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DMERC | 0852480001 | 01 |
| WI | RAILROAD MEDICARE | 500010481 | 01 |
| WI | 43810800 | 05 |
| Street Address |
7601 DISCOVERY DR |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073177564 | Mh Health Care Services, PC | Nurse Practitioner | 7601 Discovery Dr, Middleton, WI 53562-5528 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1881818110 | Margaret A. O'callaghan | Nurse Practitioner | Dys Ne Health Services, 33 Gregory Street, Middleton, MA 01949 | 2007-04-11 |
| 1336100783 | Rosemary S Neider | Nurse Practitioner | 6508 Clovernook Rd, Middleton, WI 53562-3804 | 2006-03-28 |
| 1366411332 | Catherine Hubbard | Nurse Practitioner | 4575 Evergreen Rd, Middleton, WI 53562-4201 | 2006-03-14 |
| 1457950693 | Dalyn Renzello | Nurse Practitioner | 232 S Main St, Middleton, MA 01949-3305 | 2020-10-20 |
| 1669084893 | Katherine Hass | Nurse Practitioner | 2275 Deming Way Ste 180, Middleton, WI 53562-5527 | 2020-08-19 |
| 1306461280 | Haitham Serhan | Nurse Practitioner | 40 East St, Middleton, MA 01949-1503 | 2020-06-16 |
| 1073177564 | Mh Health Care Services, PC | Nurse Practitioner | 7601 Discovery Dr, Middleton, WI 53562-5528 | 2019-04-30 |
| 1043718893 | Cindy Laporte-unni | Nurse Practitioner | 147 S Main St, Middleton, MA 01949-2446 | 2018-01-26 |
| 1871033407 | Mary Kathryn Hill | Nurse Practitioner | 2349 Deming Way, Middleton, WI 53562-5530 | 2017-03-01 |
| Find all providers in MIDDLETON | ||||
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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.