ARIANNE M FREDRICKSON (NPI# 1184917866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184917866 |
| Entity Type | Individual |
| Full Name | ARIANNE M FREDRICKSON |
| Credential | PA-C |
| Practice Address |
730 10th Ave Baldwin WI 54002-9416 |
| Practice Telephone | 7156843311 |
| Practice Fax Number | 7156844757 |
| Mailing Telephone | 7156843311 |
| Mailing Fax Number | 7156844757 |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
730 10TH AVE |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447224589 | Gregory John Estlund | Family Medicine | 730 10th Ave, Baldwin, WI 54002-9416 | 2006-02-15 |
| 1356711816 | Jayne Elizabeth Rimer | Clinic/Center | 730 10th Ave, Baldwin, WI 54002-9416 | 2015-09-28 |
| 1497135313 | Brandon Lorrig | Specialist/Technologist | 730 10th Ave, Baldwin, WI 54002-9416 | 2015-06-05 |
| 1518392752 | Ann Marie Bergren | Nurse Practitioner | 730 10th Ave, Baldwin, WI 54002-9416 | 2013-09-06 |
| 1164709846 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 730 10th Ave, Baldwin, WI 54002-9416 | 2011-11-09 |
| 1851604284 | Cheri A. Rott | Dietitian, Registered | 730 10th Ave, Baldwin, WI 54002-9416 | 2010-07-14 |
| 1679729602 | Kimberly K Mcdonald | Social Worker | 730 10th Ave, Baldwin, WI 54002-9416 | 2008-08-11 |
| 1902081326 | Natasha R Ward | Dietitian, Registered | 730 10th Ave, Baldwin, WI 54002-9416 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| 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 |
|---|---|---|---|---|
| 1427692805 | Christie Jean-charles | Physician Assistant | 987 Howard Ct, Baldwin, NY 11510-5157 | 2019-10-29 |
| 1538494315 | Laura Duval Gros | Physician Assistant | 18331 Hwy 182 West, Baldwin, LA 70514 | 2009-10-12 |
| 1306875604 | Wanda Jean Ottinger | Physician Assistant | 525 4th St, Baldwin, MI 49304-9518 | 2006-07-01 |
| 1114567633 | Claire Bartlett | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-01-13 |
| 1053894840 | Katie Jo Carstens | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-09-08 |
| 1043707979 | Katherine Fronczek | Physician Assistant | 2360 Grand Ave, Baldwin, NY 11510-3111 | 2018-04-17 |
| 1376571182 | Matthew J Steel | Physician Assistant | 1615 Michigan Ave, Baldwin, MI 49304 | 2006-06-29 |
| 1235173907 | Reid C Berger | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811409 | Kristen T Razner | Physician Assistant | 2500 E Capitol Dr # 3700, Appleton, WI 54911-8735 | 2020-11-03 |
| 1659986677 | Jordana Butler | Physician Assistant | 2105 E Enterprise Ave # 101, Appleton, WI 54913-7862 | 2020-09-15 |
| 1952916108 | Nicholas Allan Lueddecke | Physician Assistant | 101709 Fence Rd, Abbotsford, WI 54405-5400 | 2020-09-14 |
| 1073127049 | Dana Van De Hey | Physician Assistant | 616 White Birch Ct, Appleton, WI 54915-4516 | 2020-09-07 |
| 1386257194 | Harrison R Pham | Physician Assistant | 214 E Florida St Apt 526, Milwaukee, WI 53204-1657 | 2020-08-31 |
| 1366055063 | Clai Bishop Catto | Physician Assistant | 902c Tainter St, Menomonie, WI 54751-1546 | 2020-08-24 |
| 1003434978 | Benjamin Alton Cuvelier | Physician Assistant | 132 Cambridge Ave Apt 407, Waukesha, WI 53188-4788 | 2020-07-08 |
| 1366060295 | Sarah Anne Cook | Physician Assistant | 850 Brinsmere Dr, Elm Grove, WI 53122-2101 | 2020-07-07 |
| 1275159428 | Breanna Evert | Physician Assistant | 2320 Parklawn Dr # C111, Waukesha, WI 53186-2954 | 2020-06-23 |
| 1376168443 | Sadie Kolodziej | Physician Assistant | 401 Dewey Dr, Stevens Point, WI 54482-9655 | 2020-06-14 |
| Find all providers with the same taxonomy | ||||
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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.