MAGDALENA WALENTYNOWICZ


Address: 13111 N Port Washington Rd, Mequon, WI 53097-2416
Phone: 2622438384

MAGDALENA WALENTYNOWICZ (NPI# 1255796181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255796181
Entity Type Individual
Full Name MAGDALENA WALENTYNOWICZ
Credential PA-C
Practice Address 13111 N Port Washington Rd
Mequon
WI 53097-2416
Practice Telephone 2622438384
Mailing Telephone 2622438384
Enumeration Date 2015-12-18
Last Update Date 2018-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3667-23 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1255796181 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
9200 W Wisconsin Ave, Neuro-oncology, Milwaukee, WI 532263522 4148055204 4142590469

Office Location

Street Address 13111 N PORT WASHINGTON RD
City MEQUON
State WI
Zip Code 53097-2416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053360933 Infinity Healthcare Physicians, S.c. Physician Assistant 13111 N Port Washington Rd, Columbia St. Mary's - Ozaukee Campus, Mequon, WI 53097-2416 2006-05-09
1083251631 Abbey Beck Dietitian, Registered 13111 N Port Washington Rd, Mequon, WI 53097-2416 2019-12-03
1184269326 Whitney Gilbert Social Worker 13111 N Port Washington Rd, Mequon, WI 53097-2416 2019-11-12
1831733872 Deidre Alexandra Marsh Social Worker 13111 N Port Washington Rd, Mequon, WI 53097-2416 2019-11-02
1043854474 Elizabeth Shepler Nurse Anesthetist, Certified Registered 13111 N Port Washington Rd, Mequon, WI 53097-2416 2019-10-29
1053952028 Marcus Sojka Physical Therapist 13111 N Port Washington Rd, Mequon, WI 53097-2416 2019-10-01
1740747559 Columbia St Mary's Hospital Ozaukee, Inc. Psychiatric Unit 13111 N Port Washington Rd, Mequon, WI 53097-2416 2019-02-28
1508306671 Philip W Diperna Nurse Practitioner 13111 N Port Washington Rd, Mequon, WI 53097-2416 2017-03-08
1932652732 Karen Neusen Occupational Therapist 13111 N Port Washington Rd, Mequon, WI 53097-2416 2016-07-27
1336520741 Laura K Lofye Physician Assistant 13111 N Port Washington Rd, Mequon, WI 53097-2416 2015-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851512982 Wendy S Balister Dietitian, Registered 13111 North Port Washington Rd, Mequon, WV 53097 2007-05-02
1902985922 Lisa Lang Counselor 14135 North Cedarburg Road, Mequon, WI 53097 2006-11-02
1003915570 Joan T Gnadt Internal Medicine 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 2006-09-21
1255439097 Susan J Riegg Pathology 13111 N Port Washington Road, Mequon, WI 53097 2006-09-20
1891808887 Gregory Eric Custer Dentist 13615 N Cedarburg Road, Mequon, WI 53097 2006-08-16
1114958600 Richard K Karr Orthopaedic Surgery 13133n Port Washington Road, #216, Mequon, WI 53097 2006-07-05
1548204712 Lauretta Lyon Schears Occupational Therapist 13111 N. Portwashington Rd, Mequon, WI 53097 2006-06-16
1235173337 Sarah Marie Neman Physical Therapy Assistant 13111 N Prot Washington Rd., Mequon, WI 53097 2006-06-16
1538103643 Elizabeth Gral Sullivan Speech-Language Pathologist 13111 North Port Washington Road, Mequon, WI 53097 2006-06-16
1952808701 Lisa Lang LLC Counselor 14135 North Cedarburg Road, Mequon, WI 53097 2018-04-09
Find all providers in zip 53097

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427062835 Gwen Joyce Gettelman Physician Assistant 10303 N Port Washington Rd, Suite 101, Mequon, WI 53092-5760 2006-07-28
1053360933 Infinity Healthcare Physicians, S.c. Physician Assistant 13111 N Port Washington Rd, Columbia St. Mary's - Ozaukee Campus, Mequon, WI 53097-2416 2006-05-09
1477187649 Andrew M Oswald Physician Assistant 12203 Corporate Pkwy, Mequon, WI 53092-3388 2020-02-26
1558929273 Heath Hinson Physician Assistant 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 2019-05-29
1558713743 Patrick M Schroeder Physician Assistant 13133 N Port Washington Rd, Suite 104, Mequon, WI 53097-2419 2016-07-12
1336520741 Laura K Lofye Physician Assistant 13111 N Port Washington Rd, Mequon, WI 53097-2416 2015-06-11
1548640774 Brant Michael Balthazor Physician Assistant 12203 Corporate Pkwy, Mequon, WI 53092-3388 2015-06-03
1801237540 Beth J Adams Physician Assistant 13111 N Port Washington Rd, Mequon, WI 53097-2416 2013-07-10
1316382211 Heidi Rae Schmidt Physician Assistant 12203 Corporate Pkwy, Mequon, WI 53092-3388 2013-05-06
1275885725 Victoria E Rizk Physician Assistant 13111 N Port Washington Rd, Mequon, WI 53097-2416 2012-10-09
Find all providers in MEQUON

Competitor

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City MEQUON
Zip Code 53097

Improve Information

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Dataset Information

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.

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