MR. JOSIAH JUEDES (NPI# 1194270645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194270645 |
| Entity Type | Individual |
| Full Name | MR. JOSIAH JUEDES |
| Credential | PA-C |
| Practice Address |
611 1st Ave Chippewa Falls WI 54729-1242 |
| Mailing Address |
Po Box 1510 Eau Claire WI 54702-1510 |
| Practice Telephone | 7157204400 |
| Mailing Telephone | 7158385222 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3880 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
611 1ST AVE |
| City | CHIPPEWA FALLS |
| State | WI |
| Zip Code | 54729-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306825492 | Deneen Estelle Berseth | Nurse Practitioner | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2006-01-17 |
| 1497166995 | Kylee Anglemyer | Nurse Practitioner | 611 1st Ave, Chippewa Falls, WI 54729 | 2014-05-19 |
| 1558654897 | Rick A Klein | Family Medicine | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2011-05-19 |
| 1669787305 | Scott Thomas Bormann | Family Medicine | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2010-08-17 |
| 1881926624 | Rachel Louise Sting | Physical Therapist | 611 1st Ave, Chippewa Falls, WI 54729 | 2010-02-04 |
| 1326252925 | Jacquelyn Kay Ross | Physical Therapist | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2007-05-10 |
| 1356370977 | Jane D Byrd | Pediatrics | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2006-07-03 |
| 1265461883 | Mary J Kuehl | Family Medicine | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2006-07-03 |
| 1083643605 | Kenneth R Mitchell | Family Medicine | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2006-07-03 |
| 1588609481 | Lane A Woldum | Family Medicine | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963468 | Stephanie Ann Mclaughlin | Counselor | 345 Frenette Dr Ste 3, Chippewa Falls, WI 54729 | 2018-05-29 |
| 1841613148 | Terri Roberts | Nurse Practitioner | 2661 Cty Hwy I, Chippewa Falls, WI 54729 | 2014-01-23 |
| 1487928792 | Angela Marie Halbert | In Home Supportive Care | 5545 165th St, Chippewa Falls, WI 54729 | 2012-03-05 |
| 1679869739 | Furniture Loft, Inc. | Durable Medical Equipment & Medical Supplies | 1849 County Highway Oo, Chippewa Falls, WI 54729 | 2011-06-27 |
| 1184917825 | Joshua Paul Finn | Chiropractor | 17 East Central Street, Chippewa Falls, WI 54729 | 2011-05-26 |
| 1346540978 | St. Joseph's Hospital | Rehabilitation Hospital | 2661 County Road I, Chippewa Falls, WI 54729 | 2010-10-29 |
| 1770819773 | Chippewa Clinic Pharmacy | Pharmacy | 2509 County Hwy I, Chippewa Falls, WI 54729 | 2009-10-26 |
| 1689811853 | Clark Family Dental Inc | Dentist | 777 Park Avenue, Chippewa Falls, WI 54729 | 2009-01-09 |
| 1295995660 | Kelly S Abraham | Licensed Practical Nurse | 400 Pumphouse Rd, Apt #26, Chippewa Falls, WI 54729 | 2008-06-10 |
| 1225296700 | Wellington Hervey Davis Jr. | Registered Nurse | 721 Buttenhoff Rd, Chippewa Falls, WI 54729 | 2008-05-30 |
| Find all providers in zip 54729 | ||||
| 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 |
|---|---|---|---|---|
| 1386851087 | Lawrence D Eaton | Physician Assistant | 2820 E Park Ave, Northern Wisconsin Ctr for Do, Chippewa Falls, WI 54729-0340 | 2007-05-16 |
| 1194385567 | Amber Jean Lystig | Physician Assistant | 2509 County Highway I, Chippewa Falls, WI 54729-2785 | 2019-06-18 |
| 1407330475 | Brent Donald Sarauer | Physician Assistant | 2449 County Highway I, Chippewa Falls, WI 54729-4410 | 2018-09-17 |
| 1073032264 | Stacy Miller | Physician Assistant | 2509 County Highway I, Chippewa Falls, WI 54729-2785 | 2017-09-19 |
| 1003042326 | Ihc-st. Josephs Emergency Physicians, LLC | Physician Assistant | 2661 County Highway I, Chippewa Falls, WI 54729-5407 | 2009-06-01 |
| 1417042797 | Chau T Nguyen | Physician Assistant | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-10-04 |
| 1063522134 | David L. Brucher | Physician Assistant | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-08-30 |
| 1942254974 | Francis J Francosky | Physician Assistant | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-05-22 |
| 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 | ||||
| City | CHIPPEWA FALLS |
| Zip Code | 54729 |
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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.